TW201215876A - System and method for detecting amyloid proteins - Google Patents

System and method for detecting amyloid proteins Download PDF

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TW201215876A
TW201215876A TW100129191A TW100129191A TW201215876A TW 201215876 A TW201215876 A TW 201215876A TW 100129191 A TW100129191 A TW 100129191A TW 100129191 A TW100129191 A TW 100129191A TW 201215876 A TW201215876 A TW 201215876A
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eye
starch
light
fluorescence
amyloid
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TW100129191A
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TWI476392B (en
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Paul D Hartung
Vincent Valvo
Charles Kerbage
Gerald D Cagle
Dennis J Nilan
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Neuroptix Corp
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    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue
    • A61B5/14546Measuring characteristics of blood in vivo, e.g. gas concentration or pH-value ; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid or cerebral tissue for measuring analytes not otherwise provided for, e.g. ions, cytochromes
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Abstract

In accordance with an embodiment of the invention, there is provided a device and method for detecting an amyloid protein in an eye of a mammal. A method comprises illuminating the eye with a light source having at least one of a wavelength property, a polarization property or a combination thereof, each appropriate to produce fluorescence in at least an amyloid-binding compound when the amyloid-binding compound is bound to the amyloid protein, the amyloid-binding compound having been introduced to the eye and specifically binding to the amyloid protein indicative of the amyloidogenic disorder; and determining a time decay rate of fluorescence for at least the fluorescence produced by the amyloid-binding compound bound to the amyloid protein, the determining permitting distinguishing of the presence of the amyloid-binding compound bound to the amyloid protein in the eye based on at least the time decay rate.

Description

201215876 六、發明說明: 【發明所屬之技術領域】 本發明係關於用於檢測哺乳動物眼睛中之類 的裝置及方法。 μ贫白 【先前技術】 〜—直需要檢測出處於早期進展㈣疾病。早期檢測使 2能夠進行早期治療,_般已證實早期治療在多種疾病的 治療中產生較高成功率。已發現分析人的眼睛,詳言之眼 睛之晶狀體可得到多種類型之疾病的指示。舉例而言,研 究者已在阿兹海默氏病(Alzhei鑛,s disease,[AD])受害 者眼睛之晶狀.體之核上發現卩類澱粉肽及其聚集體。參看 G〇1dStein等人之美國專利第7,297,326號。因為核上僅’為^ mm厚之部分,所以自晶狀體之此區域獲得之量測需要位置 精確、資訊詳細及獲取快速。由於人類眼睛甚至在患者凝 視所照射之目標時亦幾乎持續運動,所以該量測尤其需要 此等特點。 已顯示β類澱粉肽及其聚集體於測試哺乳動物眼睛之 f上及/或皮質晶狀體區域中的存在或相較於正常對照值之 ^:的增加指示測試哺乳動物罹患神經退化性疾諸如致 殿粉樣病症)或處於發展該疾病之風險中。 迫切需要允許早期檢測出致澱粉樣病症之系統及方 法0 【發明内容】 根據本發明之一具體實例,提供一種用於檢測哺乳動 201215876 物眼睛中之類澱粉蛋白,諸如包含聚集體之類澱粉蛋白的 方法。在一些具體實例中,類澱粉蛋白之檢測為致殿粉樣 病症之指示。該方法包含以具有波長特性、偏振特性或其 組合中之至少一者之光源照射眼睛,該等特性各適於當至 少一種類澱粉結合化合物結合於類澱粉蛋白時在該類澱粉 結合化合物中產生螢光’該類澱粉結合化合物已弓丨入眼睛 中且特異性結合於指示致澱粉樣病症之類澱粉蛋白;接收 包括由照射眼睛產生之螢光的光;及測定至少由結合於類 澱粉蛋白之類澱粉結合化合物產生之螢光的螢光之時間衰 變率’該測定允許至少基於時間衰變率辨別結合於類澱粉 蛋白之類殿粉結合化合物於眼睛中之存在。 在其他相關具體實例中,該方法可進一步包含測定至 少由結合於類澱粉蛋白之類澱粉結合化合物產生之螢光的 螢光強度。基於強度及時間衰變率中至少一者可測定結合 於類澱粉蛋白之類澱粉結合化合物的量。該方法可進一步 包含基於由眼睛之組織發出的天然榮光引起之螢光信號^ 加測定眼界面(諸如眼睛之晶狀體囊)的位置。可使用光 源之照射取樣眼睛之至少一個區域’該取樣包含執行整個 區域之量測或使用光源照射取樣區域内之不同位置中之至 ^者,取樣不同位置包含照射眼睛内至少一個點、平面 及或體a取樣可包含在眼睛的一個以上區域上取樣不同 位置牛例而σ,可在沿逐深& % ⑼ϋ $ 連續平面中使用光源執行眼睛之平面掃描。可基於以 定眼睛之核上位置:(i)與特定解剖學結構(諸如眼睛之晶 201215876 狀體囊界面或角膜界面)之距離或(ii)檢測強度量度之變 化(斜率)。辨別結合於類澱粉蛋白之類澱粉結合化合物之 存在可包含區別結合於類殿粉蛋白之類澱粉結合化合物與 眼睛組織之背景自發螢光以及其他非特定粒干及未結合顯 影劑之自發螢光《該方法可包含辨別以下一者以上的存在 及里之至少一者.類澱粉結合化合物;結合於類澱粉蛋白 之類澱粉結合化合物;及類澱粉蛋白。類澱粉蛋白可包含 聚集體或前類澱粉蛋白聚集體(包括肽Api 42及/或Ah 之一聚體、二聚體或更高級寡聚物)。舉例而言,類澱粉蛋 白可包含β類澱粉。致澱粉樣病症可包含阿兹海默氏病。 在其他相關具體實例中,類澱粉結合化合物可包含分 子轉子、金黃胺(Chrysamine)及/或金黃胺衍生物、剛^ 紅(Congo red)及/或剛果紅衍生物類澱粉結合化合物;金 黃胺G或金黃胺G衍生物類澱粉結合化合物;硫代黃素τ 或硫代黃素τ衍生物類澱粉結合化合物;及硫代黃素8或 硫代黃素S衍生物類殿粉結合化合物。該方法y包含至少 僅基於勞光檢測辨別類殿粉蛋白之存在。該方法可進一步 包含測定特定眼睛區域中具有比衰變率之平均光子數。二 基於檢狀螢光測定類I粉結合化合物至眼睛巾之傳遞速 率、傳遞至眼睛中的類殿粉結合化合物之空間分佈、及/或 眼睛角膜界面處之類澱粉結合化合物之濃度梯度。此外, 可基於檢測之螢光測定類殿粉結合化合物之空間分佈及/或 類澱粉結合化合物於眼房液中之時間分佈。 該方法可進一步包含基於眼睛之解剖學結構或子結構 6 201215876 之至少一部分的天然螢光激發測定解剖學結構或子結構的 至少一個尺寸。測定該至少一個尺寸可包含以下至少一 者:測定結構或子結構之厚度、測定結構或子結構之形狀 及測定眼睛之一或多個結構或子結構之間的距離。舉例而 言,測定該至少一個尺寸可包括測定角臈厚度、角膜形狀、 眼房液深度、晶狀體形狀或晶狀體厚度’或測定眼睛之晶 狀體或其他結構或子結構内的内部量度,諸如晶狀體表面 與皮質或核或核上之距離。該#法可進一#包含使用光檢 測器裝置檢測由眼睛產生之螢光,光檢測器裝置係諸如光 電二極體、光電倍增器、電荷耦合裝置(CCD)及增強電荷 福合裝置(ICCD”之至少一者;例如快速突崩光電二極 體檢測器。該方法可包含執行由眼睛產生之螢光的時間相 關單光子計數。時間相關單光子計數可包含使光源呈脈衝 形式及基於隨時間通道單元變化之光子計數分佈測定營光 之時間衰變率。 在其他相關具體實例中 以測定激發之天然螢光且從 ’該方法可包含在眼睛内掃描 而測定眼睛中至少一個所關注 區域;及使用光源照射取樣眼睛的至少一個所關注區域, 該取樣包含執行至少一個區域的至少一個完整區域的量測 或使用光源照射取樣至少—個區域内的不同位置中之至少 -者’取樣不同位置包含照射至少_個區域内的點、平面 或體積中之至少一者;其 一個取樣區域内結合於類 生之螢光的螢光強度及螢 中該取樣係為了測定至少由至少 蛋白之類澱粉結合化合物產 光之時間衰變率。舉例而言,該 201215876 方法可包含向眼睛逐深度執行軸 軸向掃描之各點的激菸 > 知“(Z知描)以測定沿 少-個所然螢光,且從而測定眼睛的至 個所關注位置;及在與轴向掃描之方向垂 面中使用光源執行眼睛之平 的連、,平 描之各點處結合於類.殺扒π ^ 乂由各千面掃 u類歲粉蛋白之類凝粉結 螢光的勞光強度及螢光之時間:°物產生之 時搜尋到眼睛中指示致奸二支羊该方法使得能夠即 r相丁致焱粉樣病症之類澱粉蛋白。 針對關具體實例中,該方法可進-步包含以具有 激發二:之:合於類殿粉蛋白之類殿粉結合化合物之螢光 之適當波長的光照射眼睛;及檢測眼睛 '針對眼睛中結合於類澱粉蛋白之類殿粉結合化 之螢光發射光谱之峰區域之適當波長的光。類殿粉結 口化口物可為第11號化合物。激發光譜可具有約梢nm 之峰’眼睛之照射在激發光譜之峰加或減約2〇㈣内之波 長處’且發射光譜可具有約則⑽之峰,且檢測眼睛接收 之光在發射光譜之擊加或減約2〇細内的波長處。 在本發明之另一具體實例中,提供一種用於檢測哺乳 動物眼睛中之類澱粉蛋白的裝置。該褒置包含光源,其經 組態以發出照射眼睛且具有光波長、光偏振或其組合中至 少一者之光,該等特性各適於當至少一種類殿粉緒合化合 物結合於類澱粉蛋白時在該類澱粉結合化合物中產生螢 光,類澱粉結合化合物已引入眼睛中且特異性結合於指示 致澱粉樣病症之類澱粉蛋白;及光學單元,其經組態以接 收包括由照射眼睛產生之螢光的光且測定至少由結合於類 201215876 澱粉蛋白之類澱粉結合化合物產生之榮光的螢光之時 變率,該測定允許至少基於時間衰變率辨別結合於類= 蛋白之類澱粉結合化合物於眼睛中之存在。 /敉 在其他相關具體實例中,該光學單元可經組態以測^ 以下至少一者之時間衰變率:分子轉子類澱粉社人化= 物;剛果紅或剛果紅街生物類殿粉結合化合物;^ s 澱粉結合化合物;金黃胺衍生物類殿粉結合化合物^金^ 胺G或金黃胺G衍生物類澱粉結合化合物;硫代 : 硫代黃素τ衍生物類殿粉結合化合物;及硫代黃素s或^ 代黃素S衍生物類澱粉結合化合物。該光學單元可測定: 少由結合於類殺粉蛋白之類殿粉結合化合物產生之蟹 螢光強度。該光學單元可經組態以基於強度及時間衰變率 之至少-者測定結合於類澱粉蛋白之類澱粉結合化合 量。該光學單元可經相能 & $ Π且態以測定特定眼睛區域中具有比衰 …之平均光子數。光源可包含脈衝雷射。該裝置可進一 t包含經組態以掃描眼睛中各位置上來自光源之光的光學 掃描單凡。該光學掃描單 兀了包3女置於平移台上之接物 鏡及包含電流計鏡之掃福器。該光學掃描單元可經排列以 使用光源照射取樣眼睛中之至少一個區域,該取樣包含執 行至少一個區域之至少— 個70整£域的if測或使用光源照 射取樣至少一個區域内之 夂不冋位置中之至少一者,該取樣 不同位置包含照射該至少—個 個區域中的點、平面或體積中 之^少—者。該光學掃描單元可經排列以取樣眼睛一個以 品域中的不同位置。在_實例中,該光學掃描單元可經 201215876 排列以在沿逐深度延伸至眼暗巾 17又月τ的垂直軸之連續平面中使 用光源執行眼睛的平面掃描。兮驻罢、仓 邊裝置可進一步包含用於檢 測由眼睛發出之螢光的光檢測哭 兀韧刿益早兀,諸如光電二極體、 光電倍增器、電荷耦合裝置Γ Γ f置l CCD )及增強電荷耦合裝置 (ICCD )中之至少一者;例如突崩光檢測器。 在其他相關具體實例中,該裝置可進一步包含時間相 關單光子計數模組,其接收來自光檢測器單元的指示來自 眼睛之螢光的光子計數之電信號。該裝置可包含至少一個 處理器模組’其經組態以基於隨時間通道單元變化之光子 計數分佈測定營光之時間衰變率。該光學單元可經組態以 辨別結合於類澱粉蛋白之類澱粉結合化合物與眼睛組織的 背厅'自發螢光以及其他非特定粒子及未結合類澱粉結合化 〇物之自發螢光。言亥光學單元可經組態以辨別以下一者以 上之存在及量中之至少一者:類澱粉結合化合物;結合於 類澱粉蛋白之類澱粉結合化合物;及類澱粉蛋白。類澱粉 蛋白可包含聚集體或前類澱粉蛋白聚集體。舉例而言,類 澱粉蛋白可包含β類澱粉。致澱粉樣病症可包含阿茲海默 氏病。 在其他相關具體實例中,該光學單元可經組態以至少 僅基於螢光檢測辨別類澱粉蛋白之存在。該光學單元可經 組態以基於檢測之螢光測定類澱粉結合化合物至眼睛中之 傳遞速率、傳遞至眼睛中的類澱粉結合化合物之空間分 佈、及/或眼睛角膜界面處之類澱粉結合化合物之濃度梯 度。該光學單元可經組態以基於檢測之螢光測定類澱粉結 10 201215876 合化合物於眼房液中的空間分佈及時間分佈之至少一者。 該光學單元可經組態以基於由眼睛之組織發出的天然螢光 引起的螢光信號增強測定眼界面(諸如眼睛之晶狀體囊) 的位置。該光學單元可經組態以基於以下測定眼睛之核上 位置.(1 )與特疋解刮學結構(諸如眼睛之晶狀體囊界面或 角膜界面)之距離或(Η)檢測強度量度之變化(斜率)。 該光學單元可經組態以基於解剖學結構或子結構之至少一 部分的天然螢光激發測定眼睛解剖學結構或子結構之至少 一個尺寸,其中測定該至少一個尺寸可包含以下至少2 =:測定結構或子結構厚度、測定結構或子結構形狀及測 定眼睛之一或多個結構或子結構之間的距離。 在其他相關具體實例中’該光學單元可經組態以在眼 睛内掃描來測定激發之天然螢光且從而測定眼睛中至少— 個所關注區域;及使用光源照射取樣眼睛之至少一個所關 注區域,該取樣包含執行至少一個區域之至少一個完整區 域的量測或使用光源照射取樣至少一個區域内的不同位置 中之至少一者,取樣不同位置包含照射至少—個區域中的 點、平面或體積中之至少一者;其中該取樣係為了測定至 少由至少一個取樣區域内結合於類澱粉蛋白之類澱粉結合 化合物產生之螢光的螢光強度及螢光之時間衰變率。舉例 而言’該光學單元可經組態以測定沿逐深度進入眼睛之輛 向掃描(Ζ掃描)之各點的激發天然螢光,且從而測定眼睛 之至少一個所關注位置;且在與ζ掃描之方向垂直的速續平 面中使用光源測定至少由眼睛之一組平面掃描(巧掃描) 201215876 之每一者的各點處結合於類澱粉蛋白之類澱粉結合化合物 產生之螢光的螢光強度及螢光之時間衰變率。該裝置可經 組態以使得能夠即時搜尋到眼睛中指示致澱粉樣病症之類 澱粉蛋白。 在其他相關具體貫例中,該光源可經組態以發出具有 針對眼睛中結合於類澱粉蛋白之類澱粉結合化合物之螢光 激發光譜之峰區域的適當波長之光,且該光學單元可經組 態以檢測具有針對眼睛中結合於類澱粉蛋白之類殿粉結合 化合物之螢光發射光譜之峰區域的適當波長之光。類澱粉 結合化合物可為第丨1號化合物。激發光譜可具有約47〇nm 之峰,光源經組態以發出在激發光譜之峰加或減約20 内之光,且發射光譜可具有約580 nm之峰,且光學單元名 組態以檢測在發射光譜之峰加或減約20 nm内之光。類洛 粉蛋白可為致澱粉樣病症之指示。 在本發明之另-具时财,提供-種在哺乳動物1 診斷致澱粉樣病症或對其之易感性的方法,喷乳動輸 如靈長類動物(諸如人類)、犬、描、料、牛及其類似鸯 物:該方法包含以具有波長特性、偏振特性或其組合中矣 至少-者之光源照射哺乳動物眼睛’該等特性各適於當至 少-種類澱粉結合化合物結合於指示致澱粉樣病症之類泥 粉蛋白時在該類殿粉結合化合物甲產生螢光,類澱粉結^ 勿已引入眼目月中且特異性結合於指示致澱粉樣病症之 類澱粉蛋白;接收包括由照射眼睛產生之螢光的光;及測 定至少由結合於類殿粉蛋白之類澱粉結合化合物產 12 201215876 2 =之時間衰變率,該測定允許至少基於時間 辨I、。合於類殿粉蛋白之類殿粉結合化合物於眼睛中之存 在。眼睛中類澱粉結合化合物與類澱粉蛋白之 正常對,昭έ士人於南+秘Λ _ 秋取 媒、广广: ““日示在哺乳動物中診斷出致澱粉 ^丙ή具有發展錢粉樣病症之風險。致殿粉樣病症可 為阿茲海默氏病。 在本發明之另一具體實例中,提供一種 動物眼睛中之解剖學結構的方法。該方法包含以 2 特性、偏振特性或其組合中至少一者之光源照射眼睛1 專特性各適於在眼睛之解剖學結構中產生天然營光;及則 .定眼睛中由光源照射產生之天然螢光的強度變化最大之位 置,該測定允許基於天然螢光之強度變化最大的 解剖學結構。在一特定且碑音也丨士 士 識別 體貫例中,在該方法中使用根據 本电月之一具體實例的本文所述裝置。 在其他相關具體實例中,解剖學結構可包含眼睛前段 之解剖學結構。識別解剖學結構可包含基於測定天然營光 強度增加最大之位置來測定解剖界面之位置,諸如測定眼 睛之晶狀體囊界面的位置。識別解剖學結構可包含基於光 源在眼睛中產生之天然榮光測定以下至少-者:眼睛之角 膜厚度、角膜形狀、眼房液深度、晶狀體形狀、晶狀體厚 度及晶狀體子結構(例如晶狀體囊、皮質、核上、核)之 厚度及/或形狀;且可包含測定眼睛之至少兩種解剖學结構 之間的眼内距離。該方法可進一步包含使用光源檢測哺乳 動物眼睛中指示致澱粉樣病症之類殿粉蛋白。該方法可包 13 201215876 含以光源照射哺乳動物眼睛,該光源進一步包含波長特 性、偏振特性或其組合令之至少一者,該等特性各適於當 至少一種類澱粉結合化合物結合於指示致澱粉樣病症之類 搬粉蛋白時在該類澱粉結合化合物中產生螢光,類殿粉钟 合化合物已引入眼睛中且特異性結合於指示致澱粉樣病症 之類;殿粉蛋白;接收包括由照射眼睛產生之螢光的光;及 測定至少由結合於類澱粉蛋白之類澱粉結合化合物產生之 螢光的螢光之時間衰變率,該測定允許至少基於時間衰變 率辨別結合於類澱粉蛋白之類澱粉結合化合物於眼睛中之 存在。辨別結合於類澱粉蛋白之類殿粉結合化合物之存在 可包含區別結合於類澱粉蛋白之類澱粉結合化合物與眼睛 組織之背景自發螢光以及其他非特定粒子及未結合類澱粉 結合化合物之自發螢光。該方法使得能夠即時搜尋到眼睛 中指示致澱粉樣病症之類澱粉蛋白。該方法可進一步包含 以具有針對眼睛中結合於類澱粉蛋白之類澱粉声合化合物 之螢光激發光譜之峰區域的適當波長之光照射眼睛;及檢 測眼睛接收的具有針對眼睛中結合於類殿粉蛋白之類澱粉 =合化合物之螢光發射光譜之峰區域之適當波長的光。類 澱粉結合化合物可為第11號化合物。激發光譜可具有約470 之峰眼目月之照射在激發光譜之峰加或減約20 nm内之 波長處’且發射光譜可具有,約580 nm之峰,檢測眼睛接收 之光在發射光譜之峰加或減約2〇 nm内之波長處。 〜在其他柄關具體實例中’ 一種方法可允許至少基於時 間衰變率區別眼睛中具有類似螢光光譜之至少兩個不同螢 14 201215876 光團,該類似螢光光譜包含發射光譜及激發光譜中之顯著 重疊中之至少一者。一種方法可進一步包含以兩個尺寸表 現至少一個螢光團之螢光強度及壽命衰變中之至少—者的 刀佈此外,-種方法可包含基於至少―個螢光團之榮光 強度及壽命衰變中之至少_者測定眼睛中結合之光子數及 未結合之光子數。一種方法可包含以兩個尺寸表現盥蛋白 質結合之類殿粉結合化合物及未與蛋白質結合之類殿粉姓 合化合物的榮光強度及壽命衰變之分佈。以兩個尺寸之: 現可與掃描器及雷射中之至少一者同卜該方法可進一步 I 3藉由在眼睛之特定區域上對與比壽命衰變關聯之營光 強度取平均值來測定參數。此外,該方法可進—步包含沿 共焦路徑使對準光源與眼睛對準以測定眼睛中之參考點。 在本發明之另一具體實例中,提供一種用於測定眼 =蛋白質上結合的榮光團之方法。該方法包含以具有波 I ::莖偏振特性或其組合中至少-者之光源照射眼組 、、曰4特性各適於當至少一種類澱粉結合化合物結合於 時在該類殿粉結合化合物中產生螢光,該類澱粉結 ° “勿已引入眼組織中且特異性結合於蛋白質;接收包 ^由:、射眼目月產生之f光的% ;及測定至少由結合於蛋白 :之:殿粉結合化合物產生之榮光的螢光之時間衰變率, = 至少基於時間衰變率辨別結合於蛋白質之類搬 叔、、Ό &化合物於眼組織中之存在。 如隨附圖式中所說明’前述内容將自本發明之 例之以下更特定描述而顯而易知’圖式中相同參考數字係 15 201215876 指不同視圖中的相同部件。圖式不必按比例縮放,而是著 重說明本發明之具體實例。 【實施方式】 本發明之具體實例如下描述。 根據本發明之一具體實例,提供一種用於非侵襲性、 早期並可靠檢測類澱粉蛋白之系統及方法,該類殿粉蛋白 會升^成或已形成聚集體。在一些具體實例中,類殿粉蛋白 及/或聚集體之檢測為致澱粉樣病症之指示。致澱粉樣病症 包括AD、家族性ΑΕ)、偶發性AD、克-亞二氏症 (Crentzfeld-Jakob diSease)、變異性克_亞二氏症、海綿狀腦 病、朊病毒疾病(包括綿羊癢病、牛海綿狀腦病及其他獸 醫學朊病毒病(Pri〇nopathy))、帕金森氏病(Panins⑽$ disease)、予廷頓氏病(Huntingt〇n,sdisease)(及三核苷酸 重複序列疾病)、肌萎縮性側索硬化、唐氏症候群(D〇wnis Syndrome)(第Η對染色體三體症(丁出⑽口丨))、匹克氏 病(Pick’s Disease)(額顳葉型癡呆)、路易體疾病 Body Disease)、伴隨腦鐵積聚之神經退化(髓素異常表像 (Hallerv〇rden-Spatz Disease))、共核蛋白病(包括帕金森 氏病、多系統萎縮症、路易體癡呆及其他疾病)、神經元核 内包涵體疾病' tau蛋白病(tauopathy )(包括進行性核上 麻痹、匹克氏病、丨質基底核退化症、遺傳性額顳葉型癡 呆(伴隨或不伴隨帕金森氏症)、發病前神經退化性狀態及 關島型肌萎縮性側索硬化(Guam amy〇tr〇phic WeM scler〇Sis)/帕金森氏症-癡呆複合症)β此等病症可單獨或以 16 201215876 多種組合形式出現。類澱粉蛋白分析亦適用於檢測傳染性 海綿狀腦病(TSE ),其為特徵在於腦部致命性海綿狀神經 退化之朊病毒介導之疾病且與嚴重及致命性神經病徵及症 狀有關。TSE朊病毒病包括克_亞二氏症(cjD );新變異性 克-亞二氏症(nv-CJD );傑茨曼—斯脫司勒—史茵克症候群 (Gertsmann-Straussler-Scheinker syndrome );致命性家族性 不眠症;庫路病(KUru);阿爾帕症候群(Alpers Syndr〇me); 牛海綿狀腦病(BSE );瘙癢病(scrapie );及慢性消耗病 (chronic wasting disease > CWD)。 可對哺乳動物之眼組織施行診斷法,哺乳動物為例如 靈長類㈣(諸如人類)、犬、猫、料、牛及其類似動物。 待測試之個體(例如人類個體)包括疑似罹患該等病症之 個體(患者)《處於發展該等病症之風險中的個體。舉例 而g,使用本文所述之技術測試具有AD家族史或其他風險 因素*(諸如高齡)之個體。亦測試並未已知罹患或處於發 展該等病症風險中之個體。 診斷方法藉由使哺乳動物(例如人類個體)之眼組錯 與結合於類殿粉蛋白(例如P類殿粉(A(3)) t營光團化名 物接觸來進行。「類殿粉蛋白(amy丨。id prQiein)」竟謂: =神經炎癡呆斑塊㈣之蛋白f或肽,而不管類殿粉蛋白 聚集(70王或部分)。類澱粉蛋白較佳為類澱粉前驅蛋 :(APP)或App之(例如天然存在之)蛋白水解裂解彦 ,诸如Αβ。APP裂解產物包括Api 4〇、A(32 4〇m 及氧化或父聯之Αβ。螢光團化合物亦可結合於天然存在 17 201215876 的APP及Αβ之變異體,包括單核苷酸多晶型(SNP )變異 體。螢光團化合物可(但非必需)結合於β類澱粉聚集體。 結合於β類澱粉聚集體之螢光團的論述可見於G〇ldstein等 人,「Cytosolic β-amyloid deposition and supranuclear cataracts in lenses from people with Alzheimer's disease,」201215876 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to an apparatus and method for detecting a mammalian eye. μ poor white [Prior Art] ~ - Straight need to detect early progression (four) disease. Early detection enabled 2 to be treated early, and it has been proven that early treatment yields a higher success rate in the treatment of multiple diseases. It has been found that the analysis of the human eye, in particular the lens of the eye, provides an indication of various types of diseases. For example, researchers have found steroidal amyloid peptides and aggregates on the nucleus of the lens of the eye of Alzheimer's disease (Alzhei, s disease, [AD]). See U.S. Patent No. 7,297,326 to G. Id Stein et al. Since the nucleus is only part of the thickness of the ^mm, the measurement obtained from this region of the lens requires precise position, detailed information, and fast access. This measurement is especially needed because the human eye is almost continuously moving even when the patient is gazing at the target being illuminated. It has been shown that the presence of beta-type amyloid peptides and their aggregates in the test mammalian eye and/or in the cortical lens region or an increase in the normal control value indicates that the test mammal has neurodegenerative disorders such as Temple powder-like illness) or at risk of developing the disease. There is an urgent need for systems and methods for allowing early detection of amyloidogenic disorders. [Invention] According to one embodiment of the present invention, there is provided a method for detecting amyloids in the eyes of mammals 201215876, such as starches comprising aggregates Protein method. In some embodiments, the detection of amyloid is an indication of a halllet-like condition. The method comprises illuminating the eye with a light source having at least one of wavelength characteristics, polarization characteristics, or a combination thereof, each of the properties being suitable for producing in the starch-binding compound when at least one starch-like binding compound binds to the amyloid-like compound Fluorescent' such starch-binding compounds have been incorporated into the eye and specifically bind to an amyloid indicative of an amyloidogenic disorder; receive light comprising fluorescence produced by illuminating the eye; and assay at least by binding to amyloid Time decay rate of fluorescent fluorescence produced by a starch-binding compound such that the assay allows discrimination in the presence of a compound such as amyloid-like compound in the eye based on at least the temporal decay rate. In other related embodiments, the method can further comprise determining the fluorescence intensity of the fluorescent light produced by at least the starch-binding compound bound to the amyloid-like protein. The amount of the starch-binding compound bound to the amyloid-like protein can be determined based on at least one of the intensity and the time decay rate. The method can further comprise measuring the position of the ocular interface (such as the lens capsule of the eye) based on the fluorescent signal caused by the natural glory emitted by the tissue of the eye. At least one region of the eye may be sampled using illumination of the light source. 'The sampling includes performing a measurement of the entire region or illuminating the different locations within the sampling region with the light source. The sampling different locations includes illuminating at least one point, plane, and Or volume a sampling may include sampling a different position of the sigma on more than one area of the eye, and performing a planar scan of the eye using the light source in a continuous plane along the depth & % (9) ϋ $. The position on the nucleus of the fixed eye can be based on: (i) the distance from a particular anatomical structure (such as the eye crystal 201215876 corpuscular interface or the corneal interface) or (ii) the change in the measured intensity measure (slope). Identifying the presence of a starch-binding compound that binds to an amyloid-like protein can include spontaneous fluorescence of a starch-binding compound that binds to a powder-like protein such as a powder and a background, and spontaneous fluorescence of other non-specific dry and unbound developers. The method may comprise identifying at least one of the presence and the other of the following: a starch-like binding compound; a starch-binding compound that binds to an amyloid-like protein; and an amyloid-like protein. The amyloid-like protein may comprise aggregates or pre-amyloid aggregates (including peptide Api 42 and/or Ah one-mer, dimer or higher oligomers). For example, the amyloid-like protein may comprise a beta-based starch. The amyloidogenic disorder may comprise Alzheimer's disease. In other related embodiments, the starch-like binding compound may comprise a molecular rotor, a Chrysamine and/or a Goldenamine derivative, a Congo red and/or a Congo red derivative starch-binding compound; G or a gold amine G derivative type starch-binding compound; a thioflavin tau or a thioflavin tau derivative type starch-binding compound; and a thioflavin 8 or a thioflavin S derivative type powder-binding compound. The method y comprises identifying the presence of a class of powders based at least on the Rauma assay. The method can further comprise determining an average number of photons having a specific decay rate in a particular eye region. 2. The rate of transfer of the powder-like compound to the eye towel, the spatial distribution of the powder-like compound delivered to the eye, and/or the concentration gradient of the starch-binding compound at the corneal interface of the eye, based on the fluorescing assay. In addition, the spatial distribution of the powder-like compound and/or the time distribution of the starch-like compound in the aqueous humor can be determined based on the detected fluorescence. The method can further comprise determining at least one dimension of the anatomical structure or substructure based on natural fluorescent excitation of at least a portion of an anatomical structure of the eye or substructure 6 201215876. Determining the at least one dimension can comprise at least one of determining the thickness of the structure or substructure, determining the shape of the structure or substructure, and determining the distance between one or more structures or substructures of the eye. For example, determining the at least one dimension can include determining a corner thickness, a corneal shape, an aqueous humor depth, a lens shape, or a lens thickness' or determining an internal measure within the lens or other structure or substructure of the eye, such as a lens surface and The distance from the cortex or the nucleus or nucleus. The #法可进一# includes detecting the fluorescence generated by the eye using a photodetector device such as a photodiode, a photomultiplier, a charge coupled device (CCD), and an enhanced charge blessing device (ICCD). At least one of; for example, a rapid spur photodiode detector. The method can include performing a time-dependent single photon count of fluorescence produced by the eye. The time-dependent single photon count can include pulsing the source and over time The photon count distribution of the channel unit variation determines the time decay rate of the camp light. In other related embodiments, the induced natural fluorescence is measured and at least one of the regions of interest in the eye is determined from the method that the scan can be included in the eye; Detecting at least one region of interest of the sampling eye using a light source, the sampling comprising performing at least one complete region of at least one region or measuring at least one of different locations within the region using at least one of the regions - sampling different locations comprising Irradiating at least one of a point, a plane, or a volume in at least one region; The fluorescence intensity in the region combined with the fluorescence of the fluorescing and the sample in the fluorescein are used to determine the decay rate of light produced by at least a starch-binding compound such as at least a protein. For example, the method of 201215876 may include depth to the eye. Excitation of the smoke at each point of the axial scan of the shaft is known as "Z-Through" to determine the edge-to-beat position of the eye; and to measure the position of the eye to the position of interest; and to lie in the direction of the axial scan The light source is used to perform the flat connection of the eye, and the points of the flat drawing are combined with the class. Killing π ^ 劳 The light intensity and fluorescence of the condensed powder of the genus Time: When the substance is produced, it is found in the eye to indicate that the two sheep are bred. This method enables the amyloid protein such as the r-phase sputum-like powder-like condition. In the specific example, the method can further include Having excitation 2: illuminating the eye with light of a suitable wavelength corresponding to the fluorescent light of the compound powder of the dinosaur powder; and detecting the fluorescing of the eye for the combination of the amyloid-like powder in the eye Peak region of emission spectrum The appropriate wavelength of light in the domain. The powder-like mouth-of-mouth can be compound No. 11. The excitation spectrum can have a peak near the end nm. The wavelength of the eye is increased or decreased by about 2 〇 (4) in the peak of the excitation spectrum. And the emission spectrum may have a peak of about (10), and the light received by the eye is detected at a wavelength within the emission spectrum that is increased or decreased by about 2 〇. In another embodiment of the present invention, a method is provided for A device for detecting amyloid in a mammalian eye. The device comprises a light source configured to emit light that illuminates the eye and has at least one of a wavelength of light, a polarization of light, or a combination thereof, each of which is suitable for At least one genus-like compound is fluorescing in the starch-binding compound when bound to amyloid-like compounds, the starch-like binding compound has been introduced into the eye and specifically binds to an amyloid indicative of an amyloidogenic disorder; and optical a unit configured to receive light comprising fluorescence emitted by the illuminating eye and to measure fluorescence of at least glory produced by a starch-binding compound such as amyloid-like 201215876 Ratio, based on at least the measured time decay rate allows discrimination of binding to amyloid protein class = binding in the presence of compounds of the eye. / 敉 In other related specific examples, the optical unit can be configured to measure the time decay rate of at least one of the following: molecular rotor type starch humanization = substance; Congo red or Congo red street biological class powder binding compound ;^ s starch-binding compound; golden amine derivative-like powder-binding compound ^ gold ^ amine G or golden amine G derivative starch-binding compound; thio: thioflavin τ derivative-like powder-binding compound; and sulfur A compound such as a flavin s or a flavin S derivative starch-binding compound. The optical unit can measure: the intensity of crab light produced by binding to a powder-binding compound such as a powder-killing protein. The optical unit can be configured to determine the amount of bound starch bound to the amyloid based on at least the intensity and time decay rate. The optical unit can pass the phase energy & $ Π state to determine the average number of photons with a specific attenuation in a particular eye region. The light source can include a pulsed laser. The device can further include an optical scan configured to scan light from a source at various locations in the eye. The optical scan consists of a mirror mounted on the translation stage and a wiper containing a galvanometer mirror. The optical scanning unit can be arranged to illuminate at least one of the sampling eyes using a light source, the sampling comprising performing an if measurement of at least one of the at least one region of the at least one region or sampling the at least one region using the illumination of the light source. At least one of the locations, the different locations of the samples comprising illuminating the points, planes, or volumes in the at least one region. The optical scanning unit can be arranged to sample one eye at a different location in the article domain. In an example, the optical scanning unit can be arranged through 201215876 to perform a planar scan of the eye using a light source in a continuous plane extending along the depth to the vertical axis of the eyelid 17 and the month τ. The 兮 、 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , And at least one of an enhanced charge coupled device (ICCD); such as a sag light detector. In other related embodiments, the apparatus can further include a time-correlated single photon counting module that receives an electrical signal from the photodetector unit indicative of a photon count from the fluorescent light of the eye. The apparatus can include at least one processor module' configured to determine a time decay rate of camp light based on a photon count distribution that varies over time channel units. The optical unit can be configured to distinguish spontaneous fusion of a starch-binding compound bound to an amyloid-like protein with the dorsal hall's spontaneous fluorescence of the ocular tissue and other non-specific particles and unbound starch-like sputum. The cymbal optical unit can be configured to discern at least one of the presence and amount of one or more of the following: a starch-like binding compound; a starch-binding compound that binds to an amyloid-like protein; and an amyloid-like protein. The amyloid-like protein may comprise aggregates or pre-amyloid protein aggregates. For example, amyloid may comprise beta starch. The amyloidogenic disorder may comprise Alzheimer's disease. In other related embodiments, the optical unit can be configured to discern the presence of amyloid based at least on fluorescence detection. The optical unit can be configured to determine the rate of delivery of the starch-like compound to the eye based on the detected fluorescence, the spatial distribution of the starch-like binding compound delivered to the eye, and/or the starch-binding compound at the corneal interface of the eye. Concentration gradient. The optical unit can be configured to determine at least one of a spatial distribution and a temporal distribution of the compound-like starch in the aqueous humor based on the detected fluorescence. The optical unit can be configured to enhance the position of the ocular interface (such as the lens capsule of the eye) based on fluorescent signals caused by natural fluorescence emitted by tissue of the eye. The optical unit can be configured to determine the position of the nucleus of the eye based on the following: (1) the distance from the special sputum scraping structure (such as the lens capsule interface or the corneal interface of the eye) or the change in the (Η) detection intensity metric ( Slope). The optical unit can be configured to determine at least one dimension of the anatomical structure or substructure of the eye based on natural fluorescent excitation of at least a portion of the anatomical structure or substructure, wherein determining the at least one dimension can comprise at least 2 =: determining The thickness of the structure or substructure, the shape of the structure or substructure, and the distance between one or more structures or substructures of the eye. In other related embodiments, the optical unit can be configured to scan within the eye to determine the excited natural fluorescent light and thereby determine at least one region of interest in the eye; and use the light source to illuminate at least one region of interest of the sampling eye, The sampling includes performing at least one of the at least one complete region of the at least one region or at least one of the different locations within the at least one region using the source illumination to illuminate at least one of the regions, planes, or volumes in the region At least one of the samples; wherein the sampling is for determining the fluorescence intensity of the fluorescent light and the time decay rate of the fluorescence generated by at least one sampling region bound to the starch-binding compound such as amyloid. For example, the optical unit can be configured to determine the excitation natural fluorescence at various points along the depth of the eye into the scan (Ζ scan) and thereby determine at least one of the positions of interest of the eye; Fluorescent fluorescence generated by binding to a starch-binding compound such as amyloid at each point of each of 201215876 by using a light source to measure at least a plane in the direction perpendicular to the scan. Intensity and time decay rate of fluorescence. The device can be configured to enable immediate search for amyloids in the eye indicative of amyloidogenic conditions. In other related specific embodiments, the light source can be configured to emit light having an appropriate wavelength for a peak region of a fluorescent excitation spectrum of a starch-binding compound bound to an amyloid-like compound in the eye, and the optical unit can be It is configured to detect light having an appropriate wavelength for the peak region of the fluorescence emission spectrum of the fenestate-binding compound bound to the amyloid-like compound in the eye. The starch-like binding compound may be the No. 1 compound. The excitation spectrum can have a peak of about 47 〇 nm, the source is configured to emit light at or near the peak of the excitation spectrum, and the emission spectrum can have a peak of about 580 nm, and the optical unit name is configured to detect Add or subtract light within about 20 nm from the peak of the emission spectrum. Loxobin can be an indicator of amyloidogenic conditions. In another aspect of the present invention, there is provided a method for diagnosing or susceptibility to an amyloidogenic condition in a mammal 1 , such as a primate (such as a human), a dog, a drawing, and a material. , cattle and similar sputum: the method comprises illuminating a mammalian eye with a source having at least a wavelength characteristic, a polarization characteristic, or a combination thereof. The properties are each suitable for binding at least a type of starch binding compound to the indicator In the case of a silty protein such as an amyloid disorder, the compound A is produced in a fluorescent form, and the starch-like complex is not introduced into the eye and specifically binds to an amyloid which is indicative of an amyloidogenic condition; the reception includes irradiation Fluorescent light produced by the eye; and determining the rate of decay of at least the time of the starch-binding compound bound to the powder of the genus-like powder protein 12 201215876 2 =, which allows for at least time-based determination. In combination with the powder of the hall powder protein, it is present in the eye. The normal pair of starch-like compounds in the eye and amyloid-like proteins, Zhao Yushi in the South + Peru _ Autumn media, Guangguang: ""Daily showed in the mammals to cause starch to promote the development of money powder The risk of a condition. The halllet powder-like illness can be Alzheimer's disease. In another embodiment of the invention, a method of anatomical structure in an animal's eye is provided. The method comprises illuminating the eye with a source of at least one of a characteristic of 2, a polarization characteristic, or a combination thereof, each of which is adapted to produce a natural camp light in an anatomical structure of the eye; and a natural light produced by the light source in the eye The location where the intensity of the fluorescence changes the most, and the assay allows for an anatomical structure that varies most based on the intensity of natural fluorescence. In a particular and inscription, the device described herein is used in the method according to one of the specific examples of the present month. In other related specific examples, the anatomical structure can comprise an anatomical structure of the anterior segment of the eye. Identifying the anatomical structure can include determining the location of the anatomical interface based on determining where the natural camp intensity increases most, such as determining the location of the lens capsule interface of the eye. Identifying the anatomical structure can include determining at least the following natural glory measurements produced by the light source in the eye: corneal thickness of the eye, corneal shape, depth of the aqueous humor, lens shape, lens thickness, and lens substructure (eg, lens capsule, cortex, The thickness and/or shape of the core, the core; and may comprise determining the intraocular distance between at least two anatomical structures of the eye. The method can further comprise detecting a powder protein indicative of an amyloidogenic condition in the eye of the mammal using a light source. The method may include 13 201215876 comprising irradiating a mammalian eye with a light source, the light source further comprising at least one of a wavelength characteristic, a polarization characteristic, or a combination thereof, each of the characteristics being suitable for binding at least one starch-like binding compound to the indicator starch In the case of a powdery protein such as a disease, a fluorescent compound is produced in the starch-binding compound, and the compound is incorporated into the eye and specifically binds to an amyloid-like disorder; Fluorescent light produced by the eye; and measuring the time decay rate of at least the fluorescence of the fluorescence produced by the starch-binding compound bound to the amyloid-like protein, the assay allowing discrimination based on at least the time decay rate to bind to an amyloid-like protein or the like The presence of a starch binding compound in the eye. Identifying the presence of a compound binding protein-like compound bound to an amyloid-like protein may comprise spontaneously fluorescently binding to a starch-binding compound such as an amyloid-like protein to the background of the ocular tissue and other non-specific particles and unbound starch-like compounds. Light. This method enables the immediate search for amyloids in the eye indicative of amyloidogenic conditions. The method may further comprise illuminating the eye with light having an appropriate wavelength for a peak region of a fluorescent excitation spectrum of a starch-based sounding compound that binds to an amyloid-like compound in the eye; and detecting that the eye receives a combination with the eye in the eye Starch such as powder protein = light of a suitable wavelength in the peak region of the fluorescent emission spectrum of the compound. The starch-like binding compound may be the compound No. 11. The excitation spectrum may have a peak of about 470. The eye is illuminated at a wavelength of the excitation spectrum plus or minus a wavelength within about 20 nm' and the emission spectrum may have a peak of about 580 nm to detect the peak of the emitted light of the eye at the emission spectrum. Add or subtract at a wavelength of about 2 〇 nm. ~ In other handle specific examples, a method may allow at least two different firefly 14 201215876 light clusters having similar fluorescence spectra in the eye to be distinguished based on at least the time decay rate, the similar fluorescence spectrum comprising the emission spectrum and the excitation spectrum At least one of the significant overlaps. A method may further comprise a knife cloth that exhibits at least one of a fluorescence intensity and a life decay of at least one of the fluorophores in two dimensions. Further, the method may include glory intensity and lifetime decay based on at least one fluorophore At least _ the number of photons combined in the eye and the number of unbound photons. One method may comprise the distribution of glory intensity and lifetime decay of a compound of the genus of the prion protein and the compound of the dinosaur powder which is not bound to the protein in two sizes. In two sizes: now comparable to at least one of the scanner and the laser. The method can further be determined by averaging the intensity of the camping light associated with the decay of the lifetime over a particular area of the eye. parameter. Additionally, the method can further include aligning the alignment source with the eye along the confocal path to determine a reference point in the eye. In another embodiment of the invention, a method for determining a glomerized group bound to an eye = protein is provided. The method comprises irradiating an eye group with a light source having at least one of wave I: stem polarization characteristics or a combination thereof, each of which is adapted to be suitable for binding to at least one starch-like binding compound in the class of powder-binding compounds Produces fluorescence, such a starch knot "Do not have been introduced into the ocular tissue and specifically bind to the protein; receive the package by:, the % of the light produced by the eye; and the determination of at least by binding to the protein: The time decay rate of the luminescence of the glare produced by the powder-binding compound, = based on at least the time decay rate, distinguishes the presence of the unbound, sputum & compound in the ocular tissue. As described in the accompanying drawings The foregoing description will be apparent from the following detailed description of the embodiments of the invention, the same reference Specific Embodiments [Embodiment] Specific examples of the present invention are described below. According to an embodiment of the present invention, a non-invasive, early and reliable detection of a starch-like egg is provided. Systems and methods for raising or forming aggregates. In some embodiments, the detection of powders and/or aggregates is indicative of an amyloidogenic condition. AD, familial sputum), sporadic AD, Crentzfeld-Jakob diSease, variant gram-Asian's disease, spongiform encephalopathy, prion diseases (including scrapie, bovine spongiform encephalopathy) And other veterinary virulence diseases (Pri〇nopathy), Parkinson's disease (Panins (10) $ disease), Huntingt〇n (sdisease) (and trinucleotide repeat disease), muscular atrophy Lateral cord sclerosis, D〇wnis Syndrome (Dijon trisomy (d) (D) (D), Pick's Disease (frontotemporal dementia), Body disease ), neurodegeneration associated with brain iron accumulation (Hallerv〇rden-Spatz Disease), synuclearopathy (including Parkinson's disease, multiple system atrophy, Lewy body dementia and other diseases), nerve Inclusion body disease 'tau protein (tauopathy) (including progressive nucleus, Pick's disease, basal ganglia degeneration, hereditary frontotemporal dementia (with or without Parkinson's disease), pre-onset neurodegenerative state, and Guam muscle Atrophic lateral sclerosis (Guam amy〇tr〇phic WeM scler〇Sis) / Parkinson's disease - dementia syndrome) β These conditions can occur alone or in combination with 16 201215876. Amyloid analysis is also suitable for detection Infectious spongiform encephalopathies (TSE), a prion-mediated disease characterized by degenerative cavernous nerve degeneration in the brain and associated with severe and fatal neuropathy and symptoms. TSE prion diseases include gram-Asian disease (cjD); new variant gram-Asian disease (nv-CJD); Gertzmann-Straussler-Scheinker syndrome Fatal familial insomnia; Kulu disease; KUru; Alpers Syndr〇me; Bovine spongiform encephalopathy (BSE); scrapie; and chronic wasting disease > CWD). Diagnostic methods can be performed on mammalian eye tissue, such as primates (4) (such as humans), dogs, cats, stocks, cattle, and the like. The individual to be tested (e.g., a human subject) includes individuals (patients) suspected of having such conditions "individuals at risk of developing such conditions. For example, g, individuals with a family history of AD or other risk factors* (such as advanced age) are tested using the techniques described herein. Individuals who are not known to be at risk of developing or developing such conditions are also tested. The diagnostic method is carried out by contacting an eye group of a mammal (for example, a human individual) with a protein associated with a class of powder (for example, a P-class powder (A(3)) t campon group." (amy丨.id prQiein)" actually said: = neuritis dementia plaque (four) protein f or peptide, regardless of the aggregation of protein powder (70 king or part). Amyloid protein is preferably starch-like precursor egg: ( APP) or App (for example, naturally occurring) proteolytic cleavage, such as Αβ. APP cleavage products include Api 4〇, A (32 4〇m and oxidized or paternal Αβ. Fluorescent compounds can also be combined with natural There are APP and Αβ variants of 201215876, including single nucleotide polymorph (SNP) variants. Fluorescent compounds can (but are not required) bound to beta starch aggregates. Binding to beta starch aggregates A discussion of fluorophores can be found in G〇ldstein et al., "Cytosolic beta-amyloid deposition and supranuclear cataracts in lenses from people with Alzheimer's disease,"

Lancet 2003; 361: 125 8-65中,其全部揭示内容以引用方式 併入本文中。 已發現含有Αβ之聚集體(AD中積聚之致病蛋白)在 阿啟海默氏病患者之晶狀體以及大腦中形成核上/深層皮質 白内障。以晶狀體皮質纖維細胞之細胞溶質内的胞内聚集 體形式收集Αβ沈積物。已顯示晶狀體A(3玖與正常成人腦 中相同之含量以可溶性表觀單體及二聚物質形式存在於成 人晶狀體内。晶狀體Αβ之實質部分與其他晶狀體蛋白結 合,包括充足的晶狀體結構蛋白αΒ晶狀體球蛋白。及⑹ 晶狀體球蛋白展現試管内奈莫耳分子間結合親和力且自曱 酸處理之人類晶狀體組織勻漿共免疫沈澱,表明蛋白質—蛋 白質之間的強締合。人類Αρι_42隨ρ片含量增加促進晶狀 體蛋白質聚集。藉由金屬螯合或活性氧物質清除劑阻斷蚪 增強之晶狀體蛋白質聚集,由此表明金屬蛋白氧化還原反 應牽涉於AD巾之此晶狀體蛋白質聚集過程及核上白内障 形成中。 資料顯* Αβ與晶狀體蛋白質之間發生病理學相石 用。此外,晶狀體中此等郸介導之反應表明致殿粉樣 物質’尤其主要牵涉於AD病理生理學中之人類罐_42 18 201215876 質’為促使晶狀體蛋白質聚集及核上/皮質白内障形成之有 效促氧化性肽。關於蛋白質聚集及白内障形成的其他資訊 可見於Goldstein等人之美國專利第7,1〇7,〇92號中,其全 部教示以引用方式併入本文中。 根據本發明之一具體實例,螢光團化合物與眼組織(例 如晶狀體細胞之胞内區室)之結合相較於正常對照結合程 度之增加表明哺乳動物罹患AD或處於發展AD之風險中。 如本文所用,「營光團(fhl〇r〇ph〇re)j或「螢光團化合物 (fluorophore compound )」為以特定波長及/或偏振特性之光 照射時具有所要螢光特徵之任何物質。較佳地,在本文所 H彳# t ’ Μ ®為「類澱粉結合化合物(如〜 compound )」’其如本文所用意謂結合於類澱粉蛋白之化合 物,其中「類澱粉蛋白(amyl〇idpr〇tein)j如上文所定義口。 該螢光團可為當暴露於特定波長及/或偏振特性之光時天缺 發螢光的類澱粉結合化合物。另外或其他 ’: :營:標鐵部分與類搬粉結合化合物部分之組合的:: ,其中類殿粉結合化合物部分在勞光標鐵不存在下一; 將不展現所要螢光特徵。在一具又 在使用螢光團的任何介質中展現二=: 時及未結合時可具有不同勞光特徵。==合:類殿粉 結合於類殿粉時營光團之螢光的光譜強度及;門團 較於未結合時可發生變化。第u號化合物(下間衣支率相 進-步論述“當化合物結合於 文:合圖5 了呀間农變率相較Lancet 2003; 361: 125 8-65, the entire disclosure of which is incorporated herein by reference. Aggregates containing Αβ (a pathogenic protein accumulated in AD) have been found to form a nuclear/deep cortical cataract in the lens and brain of patients with Alzheimer's disease. Aβ deposits were collected as intracellular aggregates in the cytosol of lens cortical fiber cells. It has been shown that lens A (3玖 is present in the adult lens in the same amount as the soluble apparent monomer and dimeric substance in the normal adult brain. The substantial part of the lens Αβ binds to other lens proteins, including sufficient lens structure protein αΒ Crystalline globulin. (6) Crystalline globulin exhibits intermolecular binding affinity in the in vitro tube and is co-immunoprecipitated from tannic acid-treated human lens tissue homogenate, indicating a strong protein-protein association. Human Αρι_42 with ρ Increased content promotes lens protein aggregation. Blocking 蚪-enhanced lens protein aggregation by metal chelation or reactive oxygen species scavengers, indicating that metalloprotein redox reaction involves the lens protein aggregation process and cataract formation of the AD towel The data showed that there was a pathological phase between the Αβ and the lens protein. In addition, the 郸-mediated reaction in the lens indicates that the sputum powder-like substance is particularly involved in the human cans of AD pathophysiology_42 18 201215876 质 'To promote lens protein aggregation and nuclear / epithelial An effective oxidative peptide for the formation of cataracts. Further information regarding protein aggregation and cataract formation can be found in U.S. Patent No. 7,1,7, 〇92, to the name of the entire disclosure of which is incorporated herein by reference. In one embodiment of the invention, an increase in the binding of a fluorophore compound to an ocular tissue (e.g., an intracellular compartment of a lens cell) compared to a normal control indicates that the mammal is suffering from AD or is at risk of developing AD. As used, "fhl〇r〇ph〇re"j or "fluorophore compound" is any substance that has the desired fluorescent characteristics when irradiated with light of a specific wavelength and/or polarization characteristics. Preferably, in this context, H彳# t ' Μ ® is a "starch-like binding compound (such as ~ compound )" which, as used herein, means a compound that binds to an amyloid protein, wherein "amylidoid prion" (amyl〇idpr〇) Tein)j as defined above. The fluorophore may be a starch-like binding compound that lacks fluorescence when exposed to light of a particular wavelength and/or polarization characteristic. Additionally or otherwise ': :营: The combination of the part of the standard iron and the compound of the powder-like compound:: , where the part of the compound of the powder of the class is not present in the iron of the cursor; it will not show the characteristics of the desired fluorescent. In any medium using fluorophores, two =: can be different from the time of uncombined. Can be different from the light intensity of the luminescence of the camping group. It can be changed when it is not combined. The compound of the No. u (the lower coat ratio is in the step-by-step discussion) "When the compound is combined with the text: Figure 5

S 19 201215876 於未結合時發生變化的螢光團。螢光團(尤其第11號化合 物)之該等特性的進一步論述可見於j. Sutharsan等人, 「Rational Design of Amyloid Binding Agents Based on the Molecular Rotor Motif」,ChemMedChem 2010, 5, 56-60 中, 其全部揭示内容以引用方式併入本文中。較佳地,營光團 化合物結合於Αβ 1 - 42或類殿粉前驅蛋白(App )之另一片 段。相較於含有其他β褶疊片之蛋白質,螢光團化合物可 優先結合於類澱粉蛋白。如上文所述,螢光團化合物可含 有螢光探針或可用作未添加螢光探針之螢光團。舉例而 言,螢光探針或螢光團可為金黃胺或金黃胺衍生物化合 物,諸如{(反,反),-1-溴-2,5-雙-(3-羥基羰基_4_羥基)桂皮基 苯(BSB ) }。在一特定具體實例中,螢光團可為第11號化 合物(下文結合圖5進一步論述),其為根據分子轉子基元 設計之螢光化合物。根據本發明之一具體實例,類殿粉結 合化合物可為分子轉子.、金黃胺及/或金黃胺衍生物。例示 性螢光團論述於美國專利第Μ49,249號(以全文引用的方 本文中)中,且包括金黃胺或金黃胺衍生物化合物, "(d及>臭-2,5_雙-(3_經基幾基-4-經基)桂皮基苯 (專:第if項技術中已知金黃胺G及其衍生物(例如美國 ▲ 3’259 號;第 6,168,776 號;第 6,114,175 號)。 用螢】Αβ肽’但並非登光性的。診斷方法可利 亦可使用it:合金黃胺〇衍生物來檢測眼睛中之ΑΡ肽。 I ^用之螢光探針。該等螢光團及探針市場# 售’例如可購自Mn1 , 1 Τ %有 ecular Pr〇bes 公司,Eugene,OR,]j.s Α。 20 201215876S 19 201215876 Fluorescent clusters that change when not combined. Further discussion of these properties of fluorophores (especially compound No. 11) can be found in J. Sutharsan et al., "Rational Design of Amyloid Binding Agents Based on the Molecular Rotor Motif", ChemMedChem 2010, 5, 56-60, The entire disclosure is hereby incorporated by reference. Preferably, the camping light compound is bound to another segment of Αβ 1 -42 or a powder-like precursor protein (App). The fluorophore compound preferentially binds to amyloid-like protein compared to proteins containing other β-pleated laminates. As noted above, the fluorophore compound can contain a fluorescent probe or can be used as a fluorophore without the addition of a fluorescent probe. For example, the fluorescent probe or fluorophore can be a golden amine or a golden amine derivative compound such as {(anti, trans), 1-bromo-2,5-bis-(3-hydroxycarbonyl_4_ Hydroxy) cinnabaryl benzene (BSB) }. In a particular embodiment, the fluorophore can be Compound No. 11 (discussed further below in connection with Figure 5), which is a fluorescent compound designed according to molecular rotor motifs. According to an embodiment of the present invention, the powder-like compound may be a molecular rotor, a golden amine, and/or a golden amine derivative. An exemplary fluorophore is described in U.S. Patent No. 4,249, the entire disclosure of which is incorporated herein by reference in its entirety in its entirety in the the the the the the the the the the the the the the -(3_Pentyl-4-yl-based) cinnamylbenzene (Special: Golden amine G and its derivatives are known in the art of the if (for example, US ▲ 3'259; No. 6,168,776; 6,114,175). Use fluorescein Αβ peptide 'but not light-emitting. Diagnostic method can also use it: golden amine guanidine derivative to detect scorpion peptide in the eye. Probes. These fluorophores and probes market# are sold, for example, from Mn1, 1 Τ% with ecular Pr〇bes, Eugene, OR,]js Α. 20 201215876

一些染料(例如X-34或{(及,及),_ι·溴_2,5_雙_(3_羥基 幾基-4-座基)桂皮基苯(BSB) })(Styren等人,2000,JSome dyes (eg X-34 or {(and, and), _ι·bromo-2,5_bis-(3-hydroxyl-4-yl) cinnamylbenzene (BSB) }) (Styren et al, 2000, J

Histochem. 48:1223-1232 (Link 等人,2001,Neurobiol. Aging 22:217-226 ;及 Skrovonsksy 等人,2000,Proc. Natl. Acad.Histochem. 48: 1223-1232 (Link et al., 2001, Neurobiol. Aging 22: 217-226; and Skrovonsksy et al., 2000, Proc. Natl. Acad.

Sci· U.S.A. 97:7609-7614)已用於分析腦組織(並非眼睛組 織)。此等探針發射藍色•綠色範圍内之光,因此診斷相關之 螢光含量超過藍色-綠色範圍中人類晶狀體自發螢光之量。 其他適用化合物包括可檢測之甲氧基試劑,諸如Me_x〇4 〔1,4-雙(4'-羥基桂皮基)_2_甲氧基苯 > 其他曱氧基試劑包括 例如金黃胺或金黃胺衍生物化合物,諸如{(及,及溴 -2,5-雙-(3-經基羰基_4_羥基)桂皮基苯(BSB)丨。該等化合 物描述於 Mathis 等人,Curr pharm _,第 1〇(13) 卷:1469_93(2〇〇4);美國專利第 6,417,178 號;第 6,168,776 號;第6,133,259號及第6,114,175號中,其各自以全文引 用的方式併人本文中。亦可使用其他類殿粉結合探針,諸 瓜代η素T、硫代黃素s、剛果紅染料 '前述之衍生物、 或其他竹生物。關於可檢測標記之化合物的其他資訊可見 於ldstein等人之美國專利第7,297,326號中其全部教 示以引用的方式併入本文中。此外,關於前述之其他資訊 可見於美國專利巾請公開案第2_/_8795號、美國專利 申月:開案第2GG9/0G41666號及美國專利第7^07,092號 中°亥等申睛案及專利的全部教示以引用方式併入本文 中在特定具體實例中,ϋ an Μ 11 M M c τ 文結合圖5進一步論述)。 21 201215876 關於相關方法、致澱粉樣病症、類澱粉蛋白及螢光團 化合物之其他資訊可見於Goldstein等人之美國專利第 7,297’326 5虎、Goldstein等人之美國專利第7,1〇7,〇92號及Sci·U.S.A. 97:7609-7614) has been used to analyze brain tissue (not eye tissue). These probes emit light in the blue and green range, so the diagnostically relevant fluorescence content exceeds the amount of spontaneous fluorescence of the human lens in the blue-green range. Other suitable compounds include detectable methoxy reagents such as Me_x〇4 [1,4-bis(4'-hydroxycincosyl)-2-methoxybenzene> Other methoxy reagents include, for example, golden amines or golden amines. Derivative compounds such as {(and, and bromo-2,5-bis-(3-carbylcarbonyl-4-hydroxy) cinnamylbenzene (BSB) oxime. These compounds are described in Mathis et al, Curr pharm _, U.S. Patent No. 1, 316, pp. The method can be used in this article. Other types of powder-binding probes can also be used, such as θ-T, thioflavin s, Congo red dyes, the aforementioned derivatives, or other bamboo organisms. Further information on the compounds can be found in U.S. Patent No. 7,297,326, the entire disclosure of which is incorporated herein by reference. Patent Shenyue: No. 2GG9/0G41666 and US Patent No. 7^07,092 Shen patents and eye pattern entire teachings are incorporated herein by reference in a specific embodiment, ϋ an Μ 11 M M c τ discussed further in connection with FIG. 5). 21 201215876 Additional information on related methods, amyloid-like disorders, amyloid-like and fluorophore compounds can be found in U.S. Patent No. 7,297,326, to Goldstein et al., U.S. Patent No. 7,1,7, to Goldstein et al. 〇92 and

Goldstein等人之美國專利第6,849,249號中,所有該等專利 之王教不以引用方式併入本文中。此外,關於前述之其 他資afl可見於美國專利申請公開案第2〇〇8/〇〇88795號、美 國專利申請公開案第2009/004 1666號中,該等申請案之全 部教示以引用方式併入本文中。 本文提供之方法可進一步包含在向適合對照組投予螢 光團後比較測試患者晶狀體螢光。適合對照組之實例包括 螢光團投予後非AD個體(或個體群體)之内源性自發螢光 或非AD個體(或非AD個體群體)之螢光含量。 根據本發明之一具體實例,基於本文揭示之技術發現 的眼睛中存在的類澱粉蛋白之量可與指示表示疾病病況或 發展疾病病況之風險的類澱粉蛋白之量的統計學分析比 較。不期望受理論約束,咸信健康成人典型地在眼睛晶狀 體之核上區中具有至少一些最少含量之類澱粉蛋白。本文 揭示之技術因此可用於測定個體眼睛中是否具有一定量之 類澱粉蛋白,該量為高於眼睛中正常對照類澱粉蛋白含量 的統計學顯著含量。患有阿茲海默氏病之個體眼睛中類澱 泰蛋白沈積之研究可見於Goldstein等人,「Cytosolic β-amyloid deposition and supranuclear cataracts in lenses from people Whh Alzheimer's disease,」 Lancet 2003; 361 ·· 125 8-65中,其全部揭示内容以引用方式併入本文中。 22 201215876 如下文結合實* 1進-步論述,已在本發明之-夏體 實例中顯與未結合之類殿粉結合化合物相比,… 於類W白時能夠在類澱粉結合化合物之間辨別。詳; 之,貫驗1中之結果已發現本文之未結合螢光類澱粉結人 化合物(第11號化合物)的時間衰變率為例如μ奈秒: 及本文之類澱粉結合化合物結合於類澱粉蛋白(聚集之 類澱粉(Αβ)肽)時的時間衰變率為例如2 25奈秒。根據 本發明之一具體實例,未結合類澱粉結合化合物(第11號 化合物)之檢測可表示為時間衰變率14奈秒加或減〇3太 秒,而結合於類澱粉蛋白之經結合類澱粉結合化合物 u號化合物)的檢測可表示為時間衰變率2.25奈秒加或減 0.3奈秒。可使用區別類澱粉結合化合物與類澱粉蛋白之其 他衰變率及置信等級。 ~ 根據本發明之一具體實例’提供一種用於在眼睛晶狀 體中檢測類澱粉結合化合物標記之β類澱粉(Αβ )蛋白之 螢光成像方法及裝置,及其用途。在一態樣中,本文提供 之裝置為光學成像裝置,其採用與壽命波譜組合之螢光掃 描機制使得能夠檢測螢光分子並提供關於其空間分佈以及 其周圍環境特性之資訊。 根據本發明之一具體實例’該裝置(例如多功能光學 掃也螢光系統)使得能夠基於天然螢光激發識別眼睛前段 之解剖學結構;且可提供關於眼睛前段之空間資訊(諸如 角膜厚度及晶狀體形狀),且可提供眼内距離。 此外,根據本發明之一具體實例的多功能光學掃插系 23 201215876 統提供用於眼睛中未結合於類澱粉蛋白的外源性螢光類殿 粉結合化合物之活體内眼部藥物動力學研究工具。舉例而 言’該系統可測定角膜界面(諸如淚液腺/角膜上皮界面) 處類殿粉結合化合物之梯度激度。此外,該系統可測定關 於類殿粉結合化合物於眼房液中之生物可用性的空間及時 間資訊。 此外’本發明之一具體實例之多功能光學掃描系統允 許基於光學性能(諸如螢光衰變時間(τ ))檢測螢光分子及 其間的區別。該系統允許檢測眼睛晶狀體中結合於Αρ之經 標記螢光類澂粉結合化合物;檢測眼睛中之天然螢光;及 辨別(1)眼睛晶狀體中結合於Αβ之經標記螢光類澱粉結 合化合物與(ii )眼睛中之天然螢光。如本文所用,「天然 螢光(natural fluorescence )」表示眼睛中可獨立於引入之 顯影劑出現的天然螢光。 圖1為本發明之一具體實例之光學裝置的示意圖。藉 由冋數值孔徑接物鏡1 〇 1在眼睛中聚焦的脈衝雷射束實現 螢光激發。使用時間相關單光子計數(TCSPC)技術藉由與 快速突崩光電二極體檢測器(APD) 102之共焦組態二則鸯 光。藉由重複使用短脈衝之光激發樣品(眼睛)103且記錄 隨後隨時間變化之螢光發射來執行TCSPC。此操作一般2 奈秒時間標度内進行。 又 在圖1之具體實例中,晶狀體之解剖學結構的識別藉 :使用平移台104在軸上掃描接物鏡1〇1來執行。量測沿 掃描之每—點處的信號,以揭示前段(諸如晶狀體之角膜、 24 201215876 晶狀體囊及核上區域)之解剖學結構。此外,掃描 :施用至,之外源類澱粉結合化合物之藥物動力學的資 …貝訊不僅提供類殺粉結合化合物之空 訊,而且亦提供穿透角膜進 貧 的濃度。芽透角膜進入眼房液之類澱粉結合化合物 在圖】之具體實例中,一旦自沿轴向掃描 測天然營光已知眼睛中的所關注位置,即在 '且電“十鏡105的光學軸垂直的平面(xy) :描。為了確保向二維掃描之相應位點分配量測之螢光衰 .文輯’使電流計組掃描與時間相關個別光子計數之 脈衝及綠測同步。該xy#描揭示圖像之各位點 的榮光衰變時間資訊。在圖1之具體實例中,可使用專i 特殊硬體模組及/或使用特定程式化以實施模組 = 電腦執行-或多個模組,包括例如框接收器模組、: ,組、τ計算模組及掃描器控制模組。通用電腦及/或—戍 蜂自彼此接收資料。適於模組功能之資料電缓及資料 在圖1之具體實例中,對於時間相關個別光子計數, 記錄晶狀體之各掃描位置處的自發營光之衰變曲線且因此 可基於榮光衰變時間以及強度評估並分析螢光團分佈之二 維表現。所計算衰變時間之影像可由偽色編碼且可盘強度 影像重疊以進行更佳臨床解釋。因為螢光衰變時間為每二 營九分子之特徵,所以吾人可測定並分離在樣品體積中激 發之營光團(來自晶狀體之天罐的類殿粉結合化合 25 201215876 物)。藉由組合螢光強度與壽命量度,獲得額外尺寸資訊以 區別若干螢光標記。 如本文所論述,本發明之一具體實例的裝置可包含光 源。如本文所用,「光源(light source)」可為可經組態以發 出照射眼睛且具有光之波長及偏振特性中之至少一者之光 的任何光源,其中光之波長及偏振特性適於當至少一種類 殿粉結合化合物結合於類澱粉蛋白時該類澱粉結合化合物 產生螢光,照射方式使得隨後可基於因照射而接收之榮光 測定螢光之時間衰變率。 在本發明之一具體實例中,光源可經組態以發出具有 針對眼睛中結合於類澱粉蛋白之類澱粉結合化.合物之勞光 激發光譜之峰區域的適當波長之光,且光學單元可經組態 以檢測具有針對眼睛中結合於類澱粉蛋白之類殿粉結合化 合物之螢光發射光譜之峰區域的適當波長之光。舉例而 言’當類澱粉結合化合物為第11號化合物時,激發光譜具 有約470 nm之峰,且光源可經組態以發出約47〇 nm之峰 加或減約20 nm内的光,諸如470 nm加或減5 nm内、加 或減10 nm内、加或減15 nm内或加或減2〇 nm内。此外, 第11號化合物之發射光譜具有約5 80 nm之峰,且光學單 元可經組態以檢測約580 nm之峰加或減約2〇 nm内的光, 諸如580 nm加或減5 nm内、加或減1〇 nm内、加或減15 nm 内或加或減20 nm内。一般而言,在螢光化合物的激發光 譜之峰與發射光譜之峰之間典型地存在位移。根據本發明 之一具體實例’適合使用發射光譜之峰相對於激發光譜顯 26 201215876 著移位之化合物,以使得能夠區別經結合螢光團之螢光盥 眼睛之天然自發蟹光。舉例而〗,峰大於約5〇〇麵之發射 光譜有利於與眼睛之天然自發螢光的區分。經證實第丨丨號 化合物適於該目的,其具有峰為約580 nm之發射光譜與 峰為約470 run之激發光譜有顯著移位。圖12為本發明之 一具體實例之螢光類澱粉結合化合物(第丨丨號化合物)在 nm處激發時的發射光譜。熟習此項技術者基於上述内 容將顯而易知可使用之其他激發及發射光譜。 根據本發明之一具體實例,該裝置可使用「光學單元 (optical unit)」,如本文所用之光學單元意謂可經組態以接 收包括由照射眼睛產生之螢光的光且測定至少由結合於類 澱粉蛋白之類澱粉結合化合物產生之螢光的螢光時間衰變 率的任何單A ’制定允許至少基於時間衰變率辨別結合 於類澱粉蛋白之類殿粉結合化合物於眼睛中之存在。舉: 而言,參看圖i,該光學單元可包括以下一或多者:接物鏡 10卜平移台104、掃描器105、光檢測器1〇2、相機、LED、 多種透鏡、光圈、光束分光器、二向色滤光片、時間衰變 計算,組、框接收器模組、TCSPC模組及掃描器控制模組。 光學:兀之部分功能可藉由特定程式化之通用電腦或專用 硬體貫施,例如用於執行時間衰變計算。 根據本發明之一具體實例,接物鏡1(H、平移台1〇4及 具有電流鏡1G5之掃描||的功能可使用多種不同可能裝 置代替彼等组件或另外執行。總體而言,平移台、接物鏡 及具有電流計鏡之掃描器的功能在本文中稱為由「光學掃 27 201215876 7單元s_ing unit)」f施,其可指 ^所要區域上執行掃描光束之相等功能的任何裝置J ,稱,包括用於測定眼睛内參考點之目的及 眼 ==的。該光學掃描單元可執行誘導晶狀體平 移=動或晶狀體沿運動之多維路徑之運動的功能;且 行知描所關注區域上之#的Λ处 區…… ,例如執行光束在所關注 -域·,卜千面 '體積或其他類型之掃描,例如在光束之 光學路徑中在鏡子或其他光學裝置中誘導運動。 張圖二之具體實例中,使用共焦排列意謂無需使用擴 =二如在需要光以例如45度角進入眼睛離轴之系統中可 月匕需要的。此對患者而言為便利的。 圖1八為沿眼睛之照射路徑掃描(Ζ掃描)時執行用於 檢測晶狀體界面之算法期門旦 ' 异法期間量測到的天然螢光強度相對於 位移之曲線圖’且圖2Β為根據本發明之一具體實例,圖2Α 圖的1¾導數圖。算法之基本原理為天然螢光強度值掸 力口的位置是最大每單位掃描距離之假設為晶狀體邊界開^ 處的合理指示。謀+ + s之,该算法測定與對應於螢光強度之 最大反曲點的z撼松 知描起始點的距離。在一具體實例中,算法 如下進行,且可即時運作: / 二維陣列中收集資料,其中第—(自變數)維為 疋、爲碼盗量測的與起點之距離,亦即掃描距離,且 第一維(因變數)為經由光子檢測器(APD)量測之榮光強 度。 28 1 )用5點移動平均值型態對資料陣列迴旋運算以使強 201215876 度值平滑’亦即移除干擾微分之高頻雜訊。 3) 用微分型態對平滑資料陣列迴旋運算以獲得強度 列之一階導數。 4) 搜尋最大微分強度值t強度一階導數陣列。此為最 大反曲點。測定相應掃描距離。 圖A及圖2B所*,可使用上述技術測定晶狀體囊 之,置。&外,亦可測定解剖學結構(諸如角膜、眼房液 明狀體)之位置及其間之距離。可施加差量以規定沿任 何軸之比基準面的量測距離。 一圖3A及圖3B為說明根據本發明之一具體實例的螢光 农變時間之測定的圖。可藉由一次或兩次擬合指數(圖从) 與強度曲線(本文,以光子/秒為單位)、相對於時間(本文, 以奈秒為單位)計算螢光衰變時間。其亦可藉由與斜率線 性擬合獲得(圖叫如本文所用,「螢光之時間衰變率(_ decay rate 〇f fluorescence )」指示螢光強度之衰變曲線的特 徵時間常數;例如指數時間f數或與螢光衰變曲線擬合之 斜率。 口 圖2Α、圖2Β及圖3a、圖3Β之上述算法可例如使用 專用特殊硬體模組及/或使用特定程式化以執行上述算法之 通用電腦實施。該等模組可例如使用或接收來自圖丨之具 體實例的TCSPC模組、框接收器模組、τ計算模組之資料。 圖4為說明根據本發明之一具體實例的時間相關單光 子計數之使用的示意圖。脈衝光源4〇6重複激發樣品。 藉由檢測器單元突崩光電二極體(APD)術冑測樣品發 29 201215876 射’而藉由同步模組(SYNC ) 407檢測激發閃光。悝比鑑 別器(CFD ) 408僅回應於檢測器402檢測之第—光子,與 其振幅無關。來自樣品發射之此第一光子為時間振幅轉換 器(TAC ) 409之停止信號β激發脈衝觸發起始信號。多通 道分析器(MCA ) 4 1 0記錄TAC 409之單光子事件的重複 開始·停止信號,產生隨時間通道單元變化之光子計數直方 圖。自此直方圖計算壽命。MCA可使用專用特殊硬體模組 及/或使用特定程式化以執行該等任務之通用電腦實施;且 可與特定程式化之通用電腦資料連通。 在本發明之一具體實例中,包含螢光類澱粉結合化合 物及裝置之系統欲幫助在適當臨床檢查後診斷患者的可能 阿啟海默氏病’該等患者具有與阿茲海默氏型癡呆一致之 症狀或病徵。該裝置採用與螢光壽命光譜技術組合之共焦 掃描機制。該裝置使得能夠識別眼睛前段之解刮學結構, 且基於其光學特徵辨別螢光性螢光團。 圖5顯示第11號化合物之結構,其可用作本發明之一 具體實例之螢光類澱粉結合化合物。第丨丨號化合物為根據 分子轉子基元設計之螢光化合物,且已顯示結合於聚集之p 類澱粉(Αβ )肽《此與天然螢光組合,表明第丨丨號化合物 為已在阿茲海默氏病患者之晶狀體組織中發現的Ap聚集體 之活體内標記物的良好候選物。第丨丨號化合物之化學名稱 為[(E)-2-(2-(2-曱氧基乙氧基)乙氧基)乙基·2·氰基_3_(6_(哌 °定-1 -基)萘-2-基)丙烯酸酯]。關於第丨丨號化合物之其他資 訊可見於 J. Sutharsan 等人,「Rational Design of Amyloid 30 201215876No. 6,849,249 to Goldstein et al., the entire disclosure of which is incorporated herein by reference. In addition, the above-mentioned other teachings afl can be found in U.S. Patent Application Publication No. 2,8/88,875, U.S. Patent Application Publication No. 2009/0041666, the entire disclosure of which is incorporated by reference. Into this article. The methods provided herein can further comprise comparing the lens fluorescence of the test patient after administration of the fluorophore to a suitable control group. Examples of suitable control agents include the fluorescent content of endogenous spontaneous fluorescent or non-AD individuals (or non-AD individual populations) of non-AD individuals (or individual populations) after administration of the fluorophore. According to one embodiment of the invention, the amount of amyloid present in the eye found based on the techniques disclosed herein can be compared to a statistical analysis of the amount of amyloid-like protein indicative of a risk of a disease condition or a development of a disease condition. Without wishing to be bound by theory, it is desirable for a healthy adult to have at least some minimal amount of amyloid in the suprarenal region of the lens of the eye. The techniques disclosed herein can therefore be used to determine if an individual has an amount of amyloid in the eye that is above the statistically significant amount of normal control amyloid content in the eye. A study of the deposition of amphotericin in the eyes of individuals with Alzheimer's disease can be found in Goldstein et al., "Cytosolic beta-amyloid deposition and supranuclear cataracts in lenses from people Whh Alzheimer's disease," Lancet 2003; 361 ·· 125 In 8-65, the entire disclosures of which are incorporated herein by reference. 22 201215876 As discussed below in conjunction with the actual implementation of the invention, it has been shown in the -Characteristics of the present invention that it is comparable to uncombined powder-binding compounds, ... between the class of starch-binding compounds Identify. Specifically, the results in Test 1 have found that the time decay rate of the unbound fluorescent starch-like compound (No. 11 compound) herein is, for example, μ nanosecond: and the starch-binding compound as described herein is bound to the starch-like compound. The time decay rate of the protein (aggregated starch (Αβ) peptide) is, for example, 2 25 nanoseconds. According to an embodiment of the present invention, the detection of the unbound starch-like binding compound (the compound No. 11) can be expressed as a time decay rate of 14 nanoseconds plus or minus 3 seconds, and the bound starch-like starch is bound. Detection of the compound of compound u can be expressed as a time decay rate of 2.25 nanoseconds plus or minus 0.3 nanoseconds. Other decay rates and confidence levels for the differential starch-like compounds and amyloid-like proteins can be used. A method and apparatus for detecting fluorescence of a beta-like starch-labeled beta-starch (Αβ) protein in an eye lens according to an embodiment of the present invention, and use thereof. In one aspect, the apparatus provided herein is an optical imaging device that employs a fluorescence scanning mechanism in combination with a lifetime spectrum to enable detection of fluorescent molecules and provide information about their spatial distribution and their surrounding environmental characteristics. According to one embodiment of the invention, the device (eg, a multi-function optical scanning and fluorescent system) enables recognition of the anatomy of the anterior segment of the eye based on natural fluorescence excitation; and provides spatial information about the anterior segment of the eye (such as corneal thickness and The lens shape) and provides an intraocular distance. In addition, the multifunctional optical scanning system 23 201215876 according to an embodiment of the present invention provides an in vivo ocular pharmacokinetic study for an exogenous fluorescent-like powder-binding compound that is not bound to amyloid in the eye. tool. For example, the system measures the gradient intensity of a class of powder-binding compounds at the corneal interface (such as the tear gland/corneal epithelial interface). In addition, the system measures spatial and temporal information about the bioavailability of the powder-like compound in the aqueous humor. Further, the multifunctional optical scanning system of one embodiment of the present invention allows detection of fluorescent molecules and differences therebetween based on optical properties such as fluorescence decay time (τ). The system allows the detection of labeled fluorescent quinone-like conjugated compounds bound to Αρ in the lens of the eye; detection of natural fluorescence in the eye; and identification of (1) labeled fluorescent starch-binding compounds bound to Αβ in the lens of the eye and (ii) Natural fluorescence in the eye. As used herein, "natural fluorescence" means natural fluorescence in the eye that can occur independently of the introduced developer. 1 is a schematic view of an optical device according to an embodiment of the present invention. Fluorescence excitation is achieved by a pulsed laser beam with a numerical aperture lens 1 〇 1 focused in the eye. The time-dependent single photon counting (TCSPC) technique is used to construct two confocal configurations with a confocal configuration of the fast spur photodiode detector (APD) 102. The TCSPC is performed by repeatedly exciting the sample (eye) 103 with light of a short pulse and recording the subsequent fluorescence emission that changes with time. This operation is generally performed within a 2 nanosecond time scale. Also in the specific example of Fig. 1, the identification of the anatomical structure of the lens is performed by scanning the objective lens 1〇1 on the shaft using the translation stage 104. The signal at each point along the scan is measured to reveal the anatomical structure of the anterior segment (such as the cornea of the lens, 24 201215876 lens capsule and supra-nuclear region). In addition, scanning: applied to the pharmacokinetics of exogenous starch-binding compounds not only provides the airborne powder-binding compound, but also provides a concentration that penetrates the cornea. The vaginal cornea enters the starch-binding compound such as the eye liquid. In the specific example of the figure, once the natural camping light is known to be the position of interest in the eye, it is in the 'and electric' optical of the ten mirror 105. The vertical plane of the axis (xy): tracing. To ensure that the fluorescence decay of the measurement is assigned to the corresponding position of the two-dimensional scan. The text 'synchronizes the galvanometer group scan with the pulse and green measurement of the time-dependent individual photon count. Xy# describes the glory decay time information of each point of the image. In the specific example of Figure 1, you can use the special hardware module and / or use a specific stylization to implement the module = computer execution - or multiple The module includes, for example, a frame receiver module, a group, a τ calculation module, and a scanner control module. The general purpose computer and/or the bee is receiving data from each other. In the specific example of FIG. 1, for the time-dependent individual photon counting, the decay curve of the spontaneous camping light at each scanning position of the lens is recorded and thus the two-dimensional representation of the fluorophore distribution can be evaluated and analyzed based on the glory decay time and intensity. The image of the calculated decay time can be encoded by pseudo-color and the disc-intensity image can be overlapped for better clinical interpretation. Since the fluorescence decay time is characteristic of nine molecules per two battalions, we can measure and separate the excitation in the sample volume. Camp Light Group (from the crystal cans of the cans of the genus 25 201215876). By combining the fluorescence intensity and lifetime metrics, additional size information is obtained to distinguish between several fluorescent markers. As discussed herein, one of the present inventions A device of a specific example can include a light source. As used herein, a "light source" can be any light source that can be configured to emit light that illuminates the eye and has at least one of wavelength and polarization characteristics of light, wherein light The wavelength and polarization characteristics are such that when at least one of the dendrimer-binding compounds binds to the amyloid-like protein, the starch-binding compound produces fluorescence in such a manner that the time decay rate of the fluorescent light can be determined based on the glory received by the irradiation. In one embodiment of the invention, the light source can be configured to emit light having an appropriate wavelength for a peak region of the luminescence excitation spectrum of the starch-binding compound bound to the amyloid-like compound in the eye, and the optical unit It can be configured to detect light having an appropriate wavelength for the peak region of the fluorescent emission spectrum of the fenestate-binding compound bound to the amyloid-like compound in the eye. For example, when the starch-like binding compound is compound No. 11, the excitation spectrum has a peak of about 470 nm, and the light source can be configured to emit a peak of about 47 〇 nm plus or minus about 20 nm, such as 470 nm plus or minus 5 nm, plus or minus 10 nm, plus or minus 15 nm or plus or minus 2 〇 nm. In addition, the emission spectrum of Compound No. 11 has a peak of about 580 nm, and the optical unit can be configured to detect a peak at about 580 nm plus or minus about 2 〇 nm, such as 580 nm plus or minus 5 nm. Internal, plus or minus within 1 〇 nm, plus or minus 15 nm or plus or minus 20 nm. In general, there is typically a displacement between the peak of the excitation spectrum of the fluorescent compound and the peak of the emission spectrum. According to a specific example of the present invention, it is suitable to use a compound whose emission spectrum peak is shifted relative to the excitation spectrum to enable differentiation of the natural spontaneous crab light of the fluorescing eye of the combined fluorophore. For example, an emission spectrum with a peak greater than about 5 Å is advantageous for distinguishing from natural spontaneous fluorescence of the eye. It has been confirmed that the ninth compound is suitable for this purpose, and has an emission spectrum having a peak of about 580 nm and a significant shift in an excitation spectrum having a peak of about 470 run. Fig. 12 is an emission spectrum of a fluorescent-type starch-binding compound (the ninth compound) excited at nm in an embodiment of the present invention. Those skilled in the art will readily appreciate other excitation and emission spectra that can be used based on the above. According to one embodiment of the invention, the apparatus may use an "optical unit", as used herein, to mean that it is configurable to receive light comprising fluorescence generated by illuminating the eye and to determine at least by combining Any single A' formulation of the fluorescence decay time rate of fluorescence produced by a starch-binding compound such as an amyloid allows discrimination based on the temporal decay rate to distinguish the presence of a starch-binding compound such as an amyloid-like compound in the eye. For example, referring to FIG. 1, the optical unit may include one or more of the following: the objective lens 10, the translation stage 104, the scanner 105, the photodetector 1, the camera, the LED, the plurality of lenses, the aperture, and the beam splitting. , dichroic filter, time decay calculation, group, frame receiver module, TCSPC module and scanner control module. Optics: Some of the functions of the 可 can be performed by a specific stylized general purpose computer or dedicated hardware, for example for performing time decay calculations. According to an embodiment of the invention, the function of the objective lens 1 (H, the translation stage 1〇4 and the scan || having the current mirror 1G5 can be performed using a plurality of different possible devices instead of or in addition to the components. In general, the translation stage The function of the objective lens and the scanner with the galvanometer mirror is referred to herein as "optical sweep 27 201215876 7 unit s_ing unit", which can refer to any device J that performs the equal function of the scanning beam on the desired region. , said, including the purpose of measuring the reference point in the eye and the eye ==. The optical scanning unit can perform a function of inducing movement of the lens = movement of the lens or the multi-dimensional path of the lens along the movement; and knowing the region of the region on the region of interest, for example, performing the beam in the region of interest - A volume or other type of scan, such as in a mirror or other optical device, induces motion in the optical path of the beam. In the specific example of Fig. 2, the use of a confocal arrangement means that there is no need to use expansion = two, for example, in a system that requires light to enter the off-axis of the eye at, for example, a 45 degree angle. This is convenient for the patient. Figure VIII is a graph showing the natural fluorescence intensity versus displacement measured during the algorithmic period of the lens interface for scanning the illumination path along the eye (Ζ scan) and Figure 2Β A specific example of the present invention is a 13⁄4 derivative diagram of Figure 2A. The basic principle of the algorithm is the natural fluorescence intensity value. The position of the force port is the reasonable indication that the maximum per unit scan distance is the opening of the lens boundary. For + + s, the algorithm measures the distance from the starting point of the z撼松 known to the maximum inflection point of the fluorescence intensity. In a specific example, the algorithm is performed as follows, and can be operated immediately: / Collecting data in a two-dimensional array, wherein the first (self-variable) dimension is 疋, the distance from the starting point for the code thief measurement, that is, the scanning distance, And the first dimension (variable) is the glory intensity measured via a photon detector (APD). 28 1) Use the 5-point moving average type to rotate the data array to smooth the strong 201215876 degree', ie remove the high-frequency noise that interferes with the differential. 3) Use the differential type to rotate the smoothed data array to obtain the first derivative of the intensity column. 4) Search for the maximum derivative intensity value t-intensity first-order derivative array. This is the biggest recurve point. Determine the corresponding scanning distance. As shown in Fig. A and Fig. 2B, the lens capsule can be measured using the above technique. In addition, the position of the anatomical structure (such as the cornea, the aqueous humor) and the distance between them can also be determined. A delta can be applied to specify the measured distance along the reference plane of any axis. Fig. 3A and Fig. 3B are diagrams for explaining the measurement of the fluorescence agronomic time according to an embodiment of the present invention. The fluorescence decay time can be calculated by fitting the index (Fig. from) and the intensity curve (herein, in photons/second) with respect to time (here, in nanoseconds). It can also be obtained by linear fitting with the slope (referred to as "the decay rate 〇f fluorescence" as used herein to indicate the characteristic time constant of the decay curve of the fluorescence intensity; for example, the exponential time f The slope of the number or the curve of the fluorescence decay curve. The above algorithm of the port diagram 2Α, Fig. 2Β and Fig. 3a, Fig. 3Β can be performed, for example, using a special special hardware module and/or a general purpose computer using a specific stylization to execute the above algorithm. The modules may, for example, use or receive data from a TCSPC module, a frame receiver module, and a τ calculation module of a specific example of the figure. Figure 4 is a time related list illustrating a specific example in accordance with the present invention. Schematic diagram of the use of photon counting. The pulsed light source 4〇6 repeatedly excites the sample. The detector unit smashes the photodetector (APD) and the sample is detected by the sync module (SYNC) 407. The excitation flash (CFD) 408 only responds to the first photon detected by the detector 402, independent of its amplitude. The first photon from the sample emission is a time-amplitude converter (TAC). The stop signal β excitation pulse trigger start signal of 409. The multi-channel analyzer (MCA) 4 1 0 records the repeated start/stop signal of the single photon event of TAC 409, and generates a photon count histogram of the channel unit change with time. This histogram calculates the lifetime. The MCA can be implemented using dedicated special hardware modules and/or general purpose computer programs that use specific programming to perform such tasks; and can be communicated with a particular stylized general purpose computer data. In the examples, a system comprising a fluorescent starch-binding compound and device is intended to aid in the diagnosis of a patient's possible Alzheimer's disease after appropriate clinical examination. These patients have symptoms or signs consistent with Alzheimer's type dementia. The device employs a confocal scanning mechanism in combination with fluorescence lifetime spectroscopy techniques that enables the identification of the smear-like structure of the anterior segment of the eye and the identification of fluorescent fluorophores based on their optical characteristics. Figure 5 shows Compound No. 11. a structure which can be used as a fluorescent starch-based binding compound as a specific example of the present invention. A fluorescent compound designed and shown to bind to aggregated p-type starch (Αβ) peptides. This is combined with natural fluorescence, indicating that the quinone compound is found in the lens tissue of patients with Alzheimer's disease. A good candidate for in vivo markers of Ap aggregates. The chemical name of the compound No. [ is [(E)-2-(2-(2-decyloxyethoxy)ethoxy)ethyl·2 • Cyano _3_(6_(piperid-1 -yl)naphthalen-2-yl) acrylate]. Further information on the quinone compound can be found in J. Sutharsan et al., "Rational Design of Amyloid 30 201215876

Binding Agents Based on the Molecular Rotor Motif j , ChemMedChem 2010,5,56-60中,其全部揭示内容以引用 方式併入本文中。第11號化合物已調配成眼用軟膏(第u 號化合物眼用軟膏)’其含有約5 mg/g第i丨號化合物、8〇% 凡士林(petrolatum)及20%礦物油。 根據本發明之一具體實例,螢光團類澱粉結合化合物 可施用於待以多種不同可能形式中之任一種測試的個體之 眼睛。舉例而言,螢光團類澱粉結合化合物可以軟膏形式、 溶液形式、使用隱形眼鏡、藉由注射、以液體形式、固體 形式、藉由離子導入療法或藉由其他技術施用。 本發明之一具體實例之裝置經設計以在具有高靈敏度 .及速度之時域中在共焦檢測流程中檢測螢光。該裝置具有 兩個主要功能:丨)使用平移台及電流計掃描器傳遞及掃描 到達眼睛前段(諸如晶狀體之核上)之處置的光束丨及2) 基於螢光壽命量測識別及辨別螢光性螢光團。 本發明之-具體實例的裝置使用軸向掃描4 Ζ掃 別眼部解剖學結構,該掃描基於眼組織沿眼 田° 夕V、軸之天 ^螢光的雷射激發以獲得關於眼内距離警 〜貝讯。ζ掃描揭示 天然螢光強度隨深度變化之曲線圖,&提供關於待執一;; 命量測之位置的資訊。靶向之位置可為例 仃哥 7 U即人頬眼睛φ Β 狀體之核上。掃描可在數秒内完成,例如2 曰曰 ^ , 取1 2秒以内, 诸如約0.2秒、0·3秒、〇.4秒、〇·5秒、〇 6 υ·7 秒、〇 β 秒、〇·9秒、i.O秒、12秒、14秒、丨6 ·8 31 1 · 8秒或9 η 2 秒内以減少眼睛運動偽訊,或在適於減少眼睛運動偽訊之 201215876 2二時間量内完成。另外或其他,裝置可與眼睛運動追縱 —使用以減少運動偽訊。壓電驅動、線性馬達及其他控 ::動裝置可用於該㈣。軸向掃描亦可允許量測類澱粉 、二化合物於眼界面(諸如淚液腺/角膜上皮界面)處的梯 -/辰度’以及類澱粉結合化合物於眼房液中之生物可用性。 八本發明之—具體實例之裝置藉由執行Xy掃描識別螢光 刀子’其巾樣品經電料驅動之裝置光柵掃描。記錄人類 曰曰狀體之各掃描位置的螢光壽命,且因此可基於榮光衰變 率以及強度評估並分析螢光團分佈之二維表示。基於衰變 壽命之榮光團分佈的二維表…(但並非必需)包括基 於螢光強度之二維表示’在本文中稱為「螢光壽命影像 (fluorescence lifetime image)」。 根據本發明之一具體實例,螢光壽命量測係基於以短 雷射脈衝重複激發眼睛且記錄隨時間變化之隨後的榮光發 射。因為螢光衰變時間為各螢光分子之特徵,所以可測定 及分離在樣品體積中激發的來自晶狀體之天㈣光的類殿 粉結合化合物。 詳言之,在本發明之一具體實例巾,可藉由時間相關 早光子計數技術(TCSPC)獲得螢光壽命量測。掃描速度及 資料獲取可例如在0.5秒内同步及執行以減少任何眼睛運 動偽訊,或使用適於減少眼睛運動偽訊之另一時間量。 TCSPC原理係基於由脈衝雷射發射之單光子的檢測及記錄 到達的個別光子之檢測時間。當檢測到光子時,量測相應 檢測器脈衝之時間。針對許多檢測到之光子的事件收集2 32 201215876 記憶體中。可藉由自個別時間量測建構直方圖來計算螢光 衰變壽命。以TCSPC模式操作的本發明之一具體實例之裝 置可實現例如每秒約1〇7個光子之計數速率。因此,在小於 1毫秒内可收集到1 〇4個光子。當需要高速度來獲取人類眼 目月晶狀體之快速掃描資訊時,該等計數速率係重要的。可 使用其他計數速率。 本發明之一具體實例之裝置可經設計以獲得來自人類 眼睛晶狀體之特定位置的特定資訊。該等位置之實例包括 核上、晶狀體囊、核、角膜及眼房液。 此係藉由精確對準個體、對眼睛之眼部解剖學的瞭解 及獲得具有高特異性及靈敏度之晶狀體的掃描區域中之螢 光團k Λ而實現。圖1顯示本發明之一具體實例之光學平 台的示意圖(上文亦論述)。藉由高數值孔徑接物鏡101在 眼睛103中聚焦的脈衝雷射束實現螢光激發。儘管亦可使 用其他重複頻率及脈寬,但雷射可例如在約4 0 Μ Η z之重複 頻率處脈動且產生約200皮秒寬之脈衝。舉例而言,可使 用低至約1MHz至約240 ΜΗζ之重複頻率,且可使用約4〇 皮秒至約400皮秒之脈寬。光束隨後反射離開成對電流計 掃描器且藉由安裝於平移台1〇4上的高數值接物鏡Μ聚 焦。藉由首先對準個豸眼睛與裝置且執行η Ζ掃描以測定Binding Agents Based on the Molecular Rotor Motif j , ChemMedChem 2010, 5, 56-60, the entire disclosure of which is incorporated herein by reference. Compound No. 11 has been formulated into an ophthalmic ointment (No. u compound ophthalmic ointment) which contains about 5 mg/g of the i-th compound, 8 % of petrolatum and 20% of mineral oil. According to one embodiment of the invention, the fluorophore-type starch-binding compound can be applied to the eye of an individual to be tested in any of a number of different possible forms. For example, the fluorophore-type starch-binding compound can be administered in the form of an ointment, in the form of a solution, using a contact lens, by injection, in liquid form, in solid form, by iontophoresis or by other techniques. The apparatus of one embodiment of the present invention is designed to detect fluorescence in a confocal detection procedure in a time domain with high sensitivity and speed. The device has two main functions: 丨) using a translation stage and galvanometer scanner to transmit and scan the beam of light reaching the front of the eye (such as the nucleus of the lens) and 2) identifying and discriminating fluorescence based on fluorescence lifetime measurements Sexual fluorescent group. The device of the present invention-specific example uses an axial scan 4 Ζ scan eye anatomy structure based on laser excitation of the ocular tissue along the eye field 、V, the axis of the day, to obtain the intraocular distance Police ~ Beixun. The ζ scan reveals a plot of natural fluorescence intensity as a function of depth, & provides information about where to wait; The location of the target can be exemplified by the 7 7 7 U, the nucleus of the 頬 φ Β 。. Scanning can be done in a few seconds, for example 2 曰曰^, within 1 2 seconds, such as about 0.2 seconds, 0. 3 seconds, 〇.4 seconds, 〇·5 seconds, 〇6 υ·7 seconds, 〇β seconds, 〇·9 seconds, iO seconds, 12 seconds, 14 seconds, 丨6 · 8 31 1 · 8 seconds or 9 η 2 seconds to reduce eye movement artifacts, or in 201215876 2nd time suitable for reducing eye movement artifacts Completed within the volume. Additionally or alternatively, the device can be tracked with eye movements - used to reduce motion artifacts. Piezoelectric drives, linear motors and other controls can be used for this (4). Axial scanning may also allow for the measurement of the bioavailability of starch-like, di-compounds at the ocular interface (such as the tear gland/corneal epithelial interface) and the starch-like binding compound in the aqueous humor. The apparatus of the present invention, which is a specific example, recognizes the fluorescent knife by performing Xy scanning. The sample of the towel is raster scanned by the device driven by the electric material. The fluorescence lifetime of each scan position of the human scorpion is recorded, and thus the two-dimensional representation of the fluorophore distribution can be evaluated and analyzed based on the glory decay rate and intensity. A two-dimensional table of glory distribution based on decay lifetime... (but not necessarily) includes a two-dimensional representation based on fluorescence intensity', referred to herein as "fluorescence lifetime image." According to one embodiment of the invention, the fluorescence lifetime measurement is based on repeatedly exciting the eye with a short laser pulse and recording subsequent glory emission as a function of time. Since the fluorescence decay time is characteristic of each fluorescent molecule, it is possible to measure and separate the powder-like compound from the lens (4) light excited in the sample volume. In particular, in one embodiment of the invention, the fluorescence lifetime measurement can be obtained by time-dependent early photon counting (TCSPC). Scanning speed and data acquisition can be synchronized and executed, for example, within 0.5 seconds to reduce any eye movement artifacts, or another amount of time suitable for reducing eye motion artifacts. The TCSPC principle is based on the detection of single photons emitted by a pulsed laser and the detection time of individual photons arriving. When photons are detected, the time of the corresponding detector pulse is measured. Events for many detected photons are collected in 2 32 201215876 memory. The fluorescence decay lifetime can be calculated by constructing a histogram from an individual time measurement. The apparatus of one embodiment of the present invention operating in the TCSPC mode can achieve, for example, a count rate of about 1 〇 7 photons per second. Therefore, 1 〇 4 photons can be collected in less than 1 millisecond. These counting rates are important when high speeds are required to obtain fast scan information for the human lens of the moon. Other count rates are available. The device of one embodiment of the present invention can be designed to obtain specific information from a particular location of the human eye lens. Examples of such locations include the nucleus, lens capsule, nucleus, cornea, and aqueous humor. This is achieved by precisely aligning the individual, understanding the anatomy of the eye, and obtaining the fluorophore k 中 in the scanned area of the lens with high specificity and sensitivity. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a schematic illustration of an optical platform (also discussed above) of one embodiment of the invention. Fluorescence excitation is achieved by a pulsed laser beam focused in the eye 103 by a high numerical aperture objective lens 101. Although other repetition frequencies and pulse widths may be used, the laser may pulsate, for example, at a repetition rate of about 40 Μ Η z and produce a pulse of about 200 picoseconds wide. For example, a repetition rate as low as about 1 MHz to about 240 可使 can be used, and a pulse width of about 4 皮 picoseconds to about 400 picoseconds can be used. The beam is then reflected off the pair of galvanometer scanners and focused by a high value objective attached to the translation stage 1〇4. Determine by first aligning a blinking eye with the device and performing a η Ζ scan

所關注區域之位置6 ρ η Τ、Θ 9、ν 4* U 尺心位直IROI)及2) Xy掃描以獲得核上内之區 域的特定資訊,來獲得眼睛之核上的螢光量測。 根據本發明之-具體實例,個體對準由識別作為量測 之參考起點的接物鏡之焦平面組成。亦用作固定目標之發 33 201215876 光二極體(LED)藉由接物鏡101在眼睛1〇3之角m 為環形。使用相機目測環反射離開角膜表面。—旦此 即可執行眼睛掃描來獲得必要資訊。 根據本發明之—具體實例,藉由使用平移台104卜光 軸(軸幻掃描接物鏡1G1來執行晶狀體解剖學 y涉及以雷射源激發天然勞光且識別前段: 膜、晶狀體囊及晶狀體之核上區域)之解剖學結構及盆相 :二巨離。此外’掃描可提供關於施用至眼睛之外源類澱粉 ,·,σ 5化合物之藥物動力學的資訊。 根據本發明之—具體實例,-旦使用Ζ掃描量測識別出 眼睛中的所關注區4,即使用電流計鏡在與軸向掃猫垂直 的平面中執行平面掃描(xy掃描)。為了確保將所量測營光 哀變曲線分配於二維掃描之相應位點,使電流計鏡盥 T⑽量測之資料獲取板同步。巧掃描可能需要例如在〇5 秒内掃描人類眼睛之核上50 x 5〇 _之區域且開方求出壽 命哀變值。應瞭解’可使用其他尺寸及位置之區域、及掃 描時間。 根據本發明之—具體實例,使用TCSpc藉由與快速突 崩光電二極體檢測器(APD) 1〇2之共焦組態實現檢測。使 用相同接物鏡101收集激發雷射形式之來自激發分子之營 光’經具有抑制剩餘散射雷射光之其他帶通遽光片之雙向 色鏡濾光且通過小孔徑以使得能夠共焦檢測。使用快定時 選項,APIM 〇2可例如提供優於5〇皮秒半峰全寬(Fuu㈣化 HalfMaximum)的在550 nm下光子檢測效率為49%的定時 34 201215876 解析’但亦可使用其他定時解析及光子檢測效率。 根據本發明之一具體實例,資料獲取及TCSPC後之電 子學的說明於圖4中展示(上文亦論述)。脈衝光源4〇6在 (例如)40 MHz重複頻率下重複激發樣品403,同時藉由同 步(SYNC)模組407檢測激發脈衝,該模組亦設為(例如) 40 MHz。激發脈衝觸發起始信號。恆比鑑別器()如8 僅回應於檢測器402檢測之第一光子,與其振幅無關。來 自樣品發射之此第一光子為時間振幅轉換器(TAC ) 4〇9之 停止信號。當APD 402檢測光子時,在PMT輸出處形成短 脈衝。該脈衝由CFD 408「清除」且以「停止」脈衝形式進 入TAC 409。一旦檢測到停止脈衝(亦即首先到達之光子), 即停止電壓斜升且電壓值(等於開始脈衝與停止脈衝之間 的時間差)傳輸至多通道分析器(MC A ) 4丨〇。McA 4丨〇記 錄來自TAC4G9之單光子事件的重複開始.停止信號且增加 通道中對應於檢測電Μ (時間)之計數。針對各脈衝重複 此過程,且最終在多次循環之後,產生隨時間通道單元變 化之光子汁數的直方圖。該直方圖表示隨時間變化之螢光 強度,由此獲得螢光衰變壽命。 根據本發明之一具體實例,可使用以特殊時間標記之 時間分解模式工作的rCiSTC ( ⑽叫The position of the region of interest 6 ρ η Τ, Θ 9, ν 4* U 尺心直IROI) and 2) Xy scan to obtain specific information on the area within the nucleus to obtain fluorescence measurement on the nucleus of the eye . According to a particular embodiment of the invention, the individual alignment consists of a focal plane that identifies the objective lens as a reference starting point for the measurement. Also used as a fixed target 33 201215876 Light diode (LED) is ring-shaped by the objective lens 101 at the corner of the eye 1〇3. Use the camera to visually reflect the ring reflection away from the corneal surface. Once this is done, an eye scan can be performed to get the necessary information. According to a specific embodiment of the invention, the use of the translational stage 104 optical axis (axis phantom scanning objective 1G1 to perform lens anatomy y involves exciting the natural light with a laser source and identifying the anterior segment: the membrane, the lens capsule and the lens The anatomical structure and basin phase of the nuclear region: two large separations. In addition, the scan provides information on the pharmacokinetics of the source starch, sigma 5 compound administered to the eye. In accordance with an embodiment of the present invention, the region of interest 4 in the eye is identified using a helium scan measurement, i.e., a planar scan (xy scan) is performed in a plane perpendicular to the axial sweeping cat using a galvanometer mirror. In order to ensure that the measured camping light sorrow curve is assigned to the corresponding position of the two-dimensional scan, the data acquisition plate of the galvanometer mirror T(10) is synchronized. A smart scan may require, for example, scanning a region of 50 x 5 〇 _ on the nucleus of the human eye within 5 seconds and finding the life sorrow value. It should be understood that 'are available in other sizes and locations, and scan time. In accordance with a specific embodiment of the present invention, detection is achieved using TCSpc by a confocal configuration with a fast burst photodiode detector (APD) 1〇2. The same objective lens 101 is used to collect the camping light from the excitation molecules in the form of an excitation laser. The two-way chromo-optic filter with other band-passing crests that suppress the residual scattered laser light passes through a small aperture to enable confocal detection. Using the fast-timing option, APIM 〇2 can, for example, provide a timing of photonic detection efficiency of 49% at 550 nm over a full-width of 5 〇 picoseconds (Fuu (Half)). 34 201215876 Resolution 'but other timing analysis can be used And photon detection efficiency. In accordance with an embodiment of the present invention, a description of data acquisition and electronics after TCSPC is shown in Figure 4 (also discussed above). The pulsed light source 4〇6 repeatedly excites the sample 403 at a repetition rate of, for example, 40 MHz, while the excitation pulse is detected by the SYNC module 407, which is also set to, for example, 40 MHz. The excitation pulse triggers the start signal. The constant ratio discriminator (8) only responds to the first photon detected by the detector 402, independent of its amplitude. The first photon from the sample emission is the stop signal of the time-amplitude converter (TAC) 4〇9. When the APD 402 detects photons, a short pulse is formed at the PMT output. The pulse is "cleared" by CFD 408 and entered into TAC 409 as a "stop" pulse. Once the stop pulse (i.e., the first arrival photon) is detected, the voltage ramp is stopped and the voltage value (equal to the time difference between the start pulse and the stop pulse) is transmitted to the multi-channel analyzer (MC A ) 4丨〇. McA 4 records the repetition start of the single photon event from TAC4G9. The stop signal is incremented and the count corresponding to the detection power (time) in the channel is increased. This process is repeated for each pulse, and finally after multiple cycles, a histogram of the number of photon changes over time channel elements is generated. This histogram represents the fluorescence intensity as a function of time, thereby obtaining a fluorescence decay lifetime. According to one embodiment of the present invention, rCiSTC (10) called with a time-decomposed mode of special time stamping can be used.

GmbH’ Bedin,Germany ) Pc板執行資料獲取,其儲存每一 檢測光子之所有相關資訊以供進一步資料分析。詳言之, 在檢測器中與雷射激發脈衝及樣品位置及檢測通道數同步 記錄每—個光子之到達時間。獲取板之同步速率可例如設 35 201215876 為40 MHz’時間解析度為4皮秒且通道計數深度為以立 元(可使用其他同步速率、時間解析度及通道計數深度)。 根據本發明之—具體實例,可使用办 (P1C〇Quant,GmbH,Berlin,Germany)執行之軟體獲取可經 由tcp/IP網路控制且經TTL信號與電流計掃描器及獲取板 同步以限定圖像之線及框。可例如記錄以尬指令模式之 ,且展現螢光壽命及強度影像。 “根據本發明之一具體㈣,可記錄人類晶狀體内各掃 掐位置之螢光壽命,且因此可基於螢光衰變率及強度評估 刀析螢光團为佈之二維表示。基於螢光壽命衰變之建構 顏色編碼影像可重疊於驗影像上以便於臨床解釋。可藉 由^對應於—個像素之所有光子在直方圖中分類,其接著 :私數哀變函數擬合以開方求出壽命資訊,從而完成螢光 哥命f像之計算。接著針對影像中每-像素重複此程序。 軟=异法可使用尾擬合以及數值再卷積擬合資料與多指數 =變函數。因為擬合程序依賴於用於擬合之起始參數的品 質所以作為區域掃描上特定登光團之指示的比衰變率之 =的頻率計數可直接由影像開方求出。前述算法可由電 月:貫施’且可涉及在諸如電腦監視器之二維顯示器上展 資料。 _ 本發明之一具體貫例中,與比壽命衰變有關聯的平 :強度可用作類澱粉蛋白之聚集的量度。亦即,可藉由在 參數 對與比哥命衰變關聯之螢光強度取平均值生成 參數可用作聚集之量度,例如基於參數變化監視 36 201215876 體中疾病之進展。該參數可由電腦或其他特定硬體測定。 *本發月之具體貫例之裝置獲得的螢光類澱粉結 :化合物(第11號化合物)之螢光直方圖於圖6中顯示。 單私數擬合得到2奈秒之壽命衰變率。 圖7顯示根據本發明之—具體實例獲得的第u號化合 :之螢光壽命影像及其相應強度影像。影像為在0.5秒内獲 得之100 100像素且表示5〇 χ 5〇 _之掃描區域。 本發明之一具體實例使用螢光時域技術來基於壽命特 徵檢測及解析螢光團m合螢光強度與壽命量度,獲 得額外尺寸資訊以辨別螢光標記i中論述之試管内又 研究證明本發明之—具體實例基於壽命衰變特徵區別營光 性螢光團之能力。此外,對實驗2中論述的兔眼之藥物動 力學研究顯示螢光類澱粉結合化合物(第η號化合物)於 晶狀體核上的可檢測之螢光信號。更重要的是,在兔眼晶 狀體中檢測到的信號容易識別且屬於類㈣結合化合 身。 熟習此項技術者應理解,本文提出之任何方法(以及 其個別步驟及此等方法若干後續步驟之組合),尤其涉及收 集及視情況處理相關資料之技術步驟,由此獲得資料與正 常對照值的比較及/或彼比較期間任何顯著偏差的發現;在 後續單獨診斷步驟之前、與其無關及在準備後續單獨診斷 步驟時執行,亦即在造成所獲得值與針對特m殿粉樣病 症,諸如阿兹海默氏病的正常對照值(實際診斷)之間的 /曰在偏差之則。尤其涵蓋在後續單獨診斷步驟之前、與其 37 201215876 無關及在準備後續單獨診斷步驟時執行的此等方法(包括 個別步驟以及此等方法之若干後續步驟之組合)作為本發 明之個別具體實例。 根據本發明之一具體實例’現有供應商可供應系統之 多個子組件。舉例而言,激發源可為PiC0Quant of Berlin,The GmbH' Bedin, Germany) Pc board performs data acquisition, which stores all relevant information for each photon detected for further data analysis. In detail, the arrival time of each photon is recorded in the detector in synchronization with the laser excitation pulse and the sample position and the number of detection channels. The acquisition board synchronization rate can be set, for example, to 35 201215876 for 40 MHz' time resolution of 4 picoseconds and channel count depth to epoch (other synchronization rates, time resolution, and channel count depth can be used). In accordance with an embodiment of the present invention, software acquisitions that can be performed using a P1C〇Quant (GmbH, Berlin, Germany) can be controlled via a tcp/IP network and synchronized with the galvanometer scanner and acquisition board via a TTL signal to define a map. Like the line and the box. For example, it can be recorded in the 尬 command mode and exhibits fluorescence lifetime and intensity images. "According to one (4) of the present invention, the fluorescence lifetime of each broom location in the human lens can be recorded, and thus the two-dimensional representation of the fluorophore as a cloth can be evaluated based on the fluorescence decay rate and intensity. Based on the fluorescence lifetime The decay-constructed color-coded image can be superimposed on the test image for clinical interpretation. It can be classified in the histogram by ^ all the photons corresponding to one pixel, and then: the private number sorrow function is fitted to the square root Lifetime information to complete the calculation of the fluorescent image. Then repeat this procedure for each pixel in the image. Soft = different method can use the tail fitting and numerical reconvolution to fit the data with the multi-index = variable function. The fitting procedure depends on the quality of the starting parameters used for the fitting. Therefore, the frequency count of the specific decay rate as an indication of the specific light-receiving group on the area scan can be directly determined by the image square. The aforementioned algorithm can be obtained by the electric moon: And can involve the presentation of data on a two-dimensional display such as a computer monitor. _ In one specific embodiment of the invention, the flatness associated with lifetime decay: intensity can be used as an aggregation of amyloid-like proteins. Measured, that is, the parameter can be used as a measure of aggregation by averaging the fluorescence intensity associated with the parameter pair and the decay of the sinus, for example, based on the parameter change, the progress of the disease in the body can be monitored by the computer. Or other specific hardware measurements. * The fluorescence histogram of the fluorescent starch-like complex obtained from the device of the specific month of this month: Compound (No. 11 compound) is shown in Figure 6. Single-counter number fitting is obtained 2 Lifespan decay rate of nanoseconds. Figure 7 shows the fluorescence lifetime image of the ut of the ut.: and its corresponding intensity image obtained according to the embodiment of the present invention. The image is 100 100 pixels obtained in 0.5 seconds and represents 5 〇.扫描 5〇_ scan area. One embodiment of the present invention uses fluorescence time domain technology to detect and analyze fluorophore m-intensity and lifetime metric based on lifetime characteristics, and obtain additional size information to identify fluorescent markers i In the test tube, the research proves that the specific example of the present invention is based on the ability of life decay characteristics to distinguish camp light fluorophores. In addition, the pharmacokinetics of rabbit eyes discussed in Experiment 2 A detectable fluorescent signal on the lens nucleus of the fluorescent starch-binding compound (No. n) is displayed. More importantly, the signal detected in the lens of the rabbit eye is easily recognized and belongs to the class (4) combined fit. The skilled artisan will understand that any of the methods presented herein (and their individual steps and combinations of several subsequent steps of such methods) relate in particular to the technical steps of collecting and processing the relevant data as appropriate, thereby obtaining data and normal control values. Comparison and/or discovery of any significant deviations during the comparison; prior to, subsequent to, and in preparation for subsequent separate diagnostic steps, ie, in the event of causing the obtained value and the target-like condition, such as The deviation between the normal control values (actual diagnosis) of Z-Mermoney's disease (in actual diagnosis), especially those that are performed before the subsequent separate diagnostic steps, independent of their 37 201215876, and when they are prepared for subsequent separate diagnostic steps ( Including individual steps and combinations of several subsequent steps of such methods) as individual specifics of the invention example. According to one embodiment of the present invention, an existing supplier can supply a plurality of sub-components of the system. For example, the excitation source can be PiC0Quant of Berlin,

Germany 出售之 picosecond Pulsed Laser, LDH 系列;Becker & Hickl of Berlin, Germany 出售之 Picosecond Diode Laser, BDL 系列;或 Hamamatsu Photonics of Hamamatsu, Japan 出 售之 Picosecond Light Pulser,PLP 系列。可使用 Pic〇Quant,Picosecond Pulsed Laser, LDH series sold in Germany; Picosecond Diode Laser, BDL series sold by Becker & Hickl of Berlin, Germany; or Picosecond Light Pulser, PLP series sold by Hamamatsu Photonics of Hamamatsu, Japan. Use Pic〇Quant,

Berlin,Germany 出售之 TCSPC 模組;Becker & Hickl,Berlin,TCSPC module sold by Berlin, Germany; Becker & Hickl, Berlin,

Germany 出售之 TCSPC 模組,SPC 系列;或 HamamatsuTCSPC module sold in Germany, SPC series; or Hamamatsu

Photonics,Hamamatsu,Japan 出售之 Synchronous DelayPhotonics, Hamamatsu, Japan For sale Synchronous Delay

Generator, Cl 0647執行資料獲取。光子計數檢測器可為Generator, Cl 0647 performs data acquisition. Photon counting detector can be

PicoQuant,Berlin,Germany 出售之 Detector Unit,PMA 系 列,Becker & Hickl,Berlin,Germany 出售之 Detector Unit, ID-100 系列;或 Streakscope(cl〇627 系列,Ham_tsuPicoQuant, Berlin, Germany Detector Unit for sale, PMA series, Becker & Hickl, Berlin, Germany Detector Unit for sale, ID-100 series; or Streakscope (cl〇627 series, Ham_tsu

Photonics,Hamamatsu,Japan出售)。應瞭解,可使用其他 激發源、資料獲取模組及光子計數檢測器。 本發明之上述具體貫例的部分可使用一或多個電腦系 統實施。舉例而言,具體實例可使用硬體、軟體或其組合 實施。當在軟體中實施時,軟體碼可在以單個電腦提供或 分配於多個電腦中的任何適合處理器或處理器集合上執 行。 此外,應瞭解電腦可以多種形式中任一種具體化,諸 38 201215876 如機架式電腦、桌上型電腦、膝上型電腦、平板電腦、翠 几電路板電腦或晶片上之系、统。此外,電腦可嵌入_ 電腦但具有適合處理能力之裝置中,包括個人數:助 (〜咖! Digital Assistant,PDA)、智慧型手機或任何 其他適合攜帶型或固定電子裝置。 同樣’電腦可具有一或多個輸入及輸出裝置。此 :尤其可用於呈現使用者介面。可用於提供使用者介面: 之實例包括用於視覺呈現輸出之印表機或顯示幕 =於聲訊呈現輸出之揚聲器或其他發聲裝置。可用於使 :者介面’之輸入裝置之實例包括鍵盤及指標裝置,諸如 鼠、觸控塾、馳螢幕及數位化輸人板。作以 電腦可藉由語音辨識或其他聲訊型式接收輸人資訊。1 該等電腦可藉由-或多個網路則壬何適合形式 :括區域網路或廣域網路形式’諸如企業 路。該等網路可基於任何適合技術且可根據任何^ = 操作且可包括無線網路、有線網路或光纖網路。σ方案 同樣,本文所述之客插t、土 + j· __ | &夕種方法或加工可編碼為可 ^固處理器上執行之軟體,該等處理器採用多種操作^ 或平台中之任一者。此外,該軟體可使用多種適合程式化 语s及/或程式化或劇本式工具中之任一者寫入, ^ 譯為在框㈣虛擬機上執行 $ ^亦可編 碼。 w 5碼或中間 在此方面,本發明夕5 ,丨、 . 个嘰月之至少一部分可具體化為經— 種程式編碼之電腦可讀嫂;卿r 取夕 貝媒肢(或多電腦可讀媒體)(例如電 39 201215876 •:記=、一或多個軟磁碟、緊密光碟光 八 帶、快閃記憶體、場可程式化閘陣列或其他车墓辨 裝置中之電路組態、或其他有形電腦儲存媒體),咳等程 二二多個電腦或其他處理器上執行時,執行實施上: =多個具體實例的至少一部分之方法。電腦可讀媒體 ==其上儲存之程式可加載至-或多個不同電腦 一 &J sι以實施上文所述本發明之多個態樣。 —在此方面,應瞭解上述具體實例的至少—部分的 貫施包含至少一種經電腦程式(例如複數個指 電腦可靖拔駚)、届碼的 之-上執行時,執行此等具體實例 體(— 述功能。如本文所用,術語「電腦可讀媒 她ble medium)」僅涵蓋可視為機器或製造 :了=“物品)之電腦可讀媒體。電腦可讀媒體可為 =可編碼或儲存電腦可讀資訊之有形媒體、可編碼或儲 t讀資訊之儲存媒體'及/或可編碼或儲存電腦可讀 體::::!性媒體(__transit°ry medium)。電腦可讀媒 其他非洋盡實例包括電腦記憶體(例如ROM、Ram、 :閃記憶體或其他類型之電腦記憶體)、磁碟或磁帶、光 、或可視為機器或製造品的其他類型之電腦可讀媒體。 術語「程式(Pr0gram)」或「軟體(滅―」以通用 :用於本文十’係指可用於程式化電腦或其他處理器以 =施^述本發明之多個態樣的任何類型之電腦碼或電腦可 —行指令集。此外,應瞭解根據此具體實例之一態樣,執 的或夕個電胳程式無需常駐於單個電腦或處理器即 40 201215876 可執仃本發明方法,而且可以模組形式分配於許多不同電 腦或處理哭I、,I k , 似為以貫施本發明之多個態樣。 電腦可執行指令可為由—或多個電腦或其他裝置執行 的許多并ί 卜^ v ^ ,諸如程式模組。一般而言,程式模組包括執 丁特疋任務或實施特定抽象資料類型的常式、程式、物件、 件資料結構等。典型地,程式模組之功能可如多個具 體實例巾所述進行組合或分配。 具有β類殿粉狀(1-42)的Neuroptix螢光配 位體之試管内研究: 根據本發明之_ JL轉杳 / , 少取在 具體貫例,進行結合於第11號化合物 集Αβ肽的試管内 置.執行呈古取隹 研究。使用本發明之一具體實例之裝 圖:…Αβ肽之第11號化合物的螢光壽命量測。 圖8Α為顯示根據本 結合於聚集Αβ肽之第广二體貫例,第11號化合物及 應的勞光壽命直方圖c營光壽命影像’其對 圖,測定出衰變率。…:太中。藉由擬合壽命直方 低水準之光子檢測區二:、月本發明之-具體實例能夠以 優越效处^ ^ 刀可叩差異低至0.85奈秒的螢光團之 馒越效忐。實驗描述如下。 四心 此試管内研究之目的為 化合物之光學特徵,及表徵…:號化合物類殿粉結合 性。詳言之,研究目標為:1)表㈣狀時的榮光特 變率;及2)檢、、則1號化合物之哥命衰 之第11號化合物的能力。未、…合於Ρ類澱粉(Αβ)肽 裝置: 41 201215876 价㈣响 SAPPHIRE 11 裝置(NeUroptix Corporation,Photonics, Hamamatsu, Japan for sale). It should be understood that other excitation sources, data acquisition modules, and photon counting detectors can be used. Portions of the above specific embodiments of the invention may be implemented using one or more computer systems. For example, specific examples can be implemented using hardware, software, or a combination thereof. When implemented in software, the software code can be executed on any suitable processor or set of processors provided in a single computer or distributed among multiple computers. In addition, it should be understood that the computer can be embodied in any of a variety of forms, such as a rack computer, a desktop computer, a laptop computer, a tablet computer, a circuit board computer or a system on a wafer. In addition, the computer can be embedded in a computer but has a suitable processing capability, including the number of individuals: (Daily Assistant, PDA), smart phone or any other suitable portable or fixed electronic device. Similarly, a computer can have one or more input and output devices. This: Especially useful for presenting user interfaces. Can be used to provide a user interface: Examples include a printer or display screen for visual presentation of output = a speaker or other sounding device for audio presentation output. Examples of input devices that can be used to enable the interface include keyboards and indicator devices such as mice, touch pads, screens, and digital input boards. The computer can receive input information by voice recognition or other voice types. 1 These computers can be used in any form by - or multiple networks: in the form of a local area network or a wide area network such as a corporate road. Such networks may be based on any suitable technology and may operate according to any ^= and may include wireless networks, wired networks, or fiber optic networks. The sigma scheme is similar, the guest insertion t, soil + j· __ | & method or processing described in this paper can be encoded as software executable on the processor, the processor uses a variety of operations ^ or platform Either. In addition, the software can be written using any of a variety of stylized s and / or stylized or scripted tools, and can be coded as $ ^ on a virtual machine in box (4). w 5 code or intermediate in this respect, at least a part of the present invention 5, 丨, . 叽 可 can be embodied as computer readable 经 coded by the program code; Read media) (eg, electricity 39 201215876 •: remember =, one or more floppy disks, compact optical discs, flash memory, field programmable gate arrays or other circuit configurations in a tomb detector, or Other tangible computer storage media), when coughing is performed on more than 22 computers or other processors, implement the implementation: = at least part of the specific instance. Computer readable media == The program stored thereon can be loaded to - or a plurality of different computers - & J sι to implement the various aspects of the invention described above. - In this respect, it should be understood that at least a part of the above-described specific examples includes at least one computer program (for example, a plurality of computer-readable computers), and the execution of the specific code (--Function. As used herein, the term "computer-readable medium") covers only computer-readable media that can be considered as a machine or manufactured: "items". Computer-readable media can be = coded or stored A tangible medium for computer readable information, a storage medium that can encode or store information, and/or a computer readable body that can be encoded or stored::::!media (__transit°ry medium). Examples include computer memory (such as ROM, Ram, flash memory or other types of computer memory), disk or tape, light, or other types of computer readable media that can be considered as machines or articles of manufacture. "Pr0gram" or "Software ("""""""""""""""""""""""""""" Or computer The instruction set can be executed. In addition, it should be understood that according to one aspect of the specific example, the executable or the evening computer program does not need to be resident in a single computer or processor, that is, 40 201215876 can implement the method of the present invention, and can be in the form of a module. Assignment to many different computers or processing of crying I, I k seems to be a continuation of many aspects of the invention. Computer-executable instructions can be executed by - or multiple computers or other devices. ^, such as a program module. In general, a program module includes a routine, a program, an object, a piece of data structure, etc. that implement a specific abstract data type. Typically, the program module can function as many Intra-in vitro study of a Neuropterix fluorescent ligand having a β-class powder (1-42): According to the invention, the _JL transition / / is taken in a specific example The test tube was incorporated into the test tube of the No. 11 compound Αβ peptide. The sputum study was carried out. Using the specific example of the present invention, the fluorescein lifetime measurement of the compound No. 11 of the Αβ peptide was used. For display according to This is a combination of the 广β-peptide of the Αβ peptide, the compound No. 11 and the light-life life histogram c camp light lifetime image. The map shows the decay rate....: Taizhong. By fitting Photon detection area with low lifetime and low level of life: II. The specific example of the invention can be more effective than the fluorophore with a difference of 0.85 nanoseconds. The experiment is described as follows. The purpose of this in-vitro study is the optical characteristics of the compound, and the characterization of: compound compound powder combination. In particular, the research objectives are: 1) the glory variability of the table (four); and 2) inspection, The ability of Compound No. 1 to be the compound of No. 11 of the dying. No, ... is combined with a quinone type starch (Αβ) peptide device: 41 201215876 Price (four) ring SAPPHIRE 11 device (NeUroptix Corporation,

Ac⑽,MA’U.S.A·)為用於人類臨床研究之特製裝置,其適 於試管内量測此實驗。其採用與允許區分榮光團之勞光壽 命光譜組合的共焦掃描機制。該裝置允許υ使光束掃描至 眼睛前段之特定位置(諸如核上)及2)基於螢光壽命量測 識別螢光性螢光團。 方法-聚集的Αβ肽製備: 藉由將Αβ (1·42)溶解於pBSpH7 4中直至最終濃度 為刚μΜ來製傷聚集的AP肽。此溶液在謂_下在室 溫下磁力搜拌3天。將⑽_^(1_42)於聊_之儲備 ♦液等为且在-80 C下冷凍高達4週,而其特性無顧著改 蝥將150 pL則聚集的Αβ ( 1-42)添加至2.8 5 mL第11 號化合物中以獲得5μΜΑρ(1_42)及4_帛11?虎化合物 Μ終濃度1溶㈣移至5mL小瓶中且在饥下執 光量測。 實驗及結果 苐11號化合物組成之樣品置於Neur〇ptjx §apphire =+裝置的前部。一旦測定樣品中之掃描位置,即執行光柵 知,以獲得螢光壽命量測值。圖8A顯示在1秒獲取時間内 獲知·的掃描範圍100 μιη X 1〇〇 μηι之影像(2〇〇 x 2〇 陰影之旦/ m ^ ; 衫像表不哥命衰變。構成多數影像背景之陰影表示 4不秒之壽命衰變,其對應於螢光類澱粉結合化合物之壽 ,哀變。影像中所檢測之點為表示2.25奈秒之壽命衰變: 聚集Αβ肽。圖8B之曲線圖顯示針對第丨丨號化合物及結人 42 201215876 於聚集Αβ肽之第n號化合物計算的螢光衰變率 結論 以NeUroptix sAPPHIRE „裝置執行具有聚集邳肽的 第11號化合物之試管内螢光壽命量測。基於螢光壽命衰變 率二可解析與第U號化合物結合或未結合之肽。結果表明 僅猎由幾百個光子之檢測水準即能夠區分壽命具有〇 85奈 秒差異之螢光團的SAPPHIRE II裝置之優越效能。 實驗2一荷蘭-白肩兔(DUtch-BeltedRabbit)中之眼 部藥物動力學研究: 根據本發明之一具體實例,使用本發明之一具體實例 之裝置執行第11號化合物於兔眼睛中之活體内藥物動力學 研究。圖9A為對兩隻以類澱粉結合化合物給藥之兔以及對 、兔里測的比衰變率之光子頻率計數之曲線圖。根據本發 明之一具體實例,自榮光直方圖(圖9B)計算關於螢光類 贏粕、’° 口化合物(第11號化合物)之比衰變率之光子頻率 °十數、’°果表明類澱粉結合化合物穿透角膜且由兔眼睛之 晶狀體中的裝置檢測之能力。實驗描述如下。 引言 在何蘭•白肩兔中進行經局部投予螢光類澱粉結合化合 物的劑量反應之眼部藥物動力學研究。使用呈軟膏形式之 第11號化合物類澱粉結合化合物每天測試兔子持續4天。 兩隻動物在右眼中以軟膏形式之第11號化合4勿(0.5%)衿 荜。<一 -ft -^L· 4-/ . 〇 ’、 初未經處理且用作對照動物。動物在特定時門 點給藥持續4 τ间Ac(10), MA'U.S.A.) is a special device for human clinical studies that is suitable for measuring this experiment in vitro. It employs a confocal scanning mechanism combined with a light life life spectrum that allows for the distinction of glory groups. The device allows the beam to be scanned to a specific location in the anterior segment of the eye (such as on the nucleus) and 2) to identify the fluorescent fluorophore based on fluorescence lifetime measurements. Method - Aggregated Aβ peptide preparation: The aggregated AP peptide was damaged by dissolving Aβ (1·42) in pBSpH7 4 until the final concentration was just μΜ. This solution was magnetically mixed for 3 days at room temperature under the condition of _. (10) _ ^ (1_42) in the _ _ reserve ♦ liquid and so on and frozen at -80 C for up to 4 weeks, and its characteristics without any improvement, 150 pL of aggregated Αβ (1-42) was added to 2.8 5 In mL No. 11 compound, 5 μΜΑρ(1_42) and 4_帛11? tiger compound were dissolved in a final concentration of 1 (4) and transferred to a 5 mL vial and subjected to hunger. EXPERIMENTAL AND RESULTS Samples of Compound No. 11 were placed in front of the Neuropxx §apphire =+ device. Once the scan position in the sample is determined, the grating is known to obtain a fluorescence lifetime measurement. Fig. 8A shows the image of the scanning range 100 μιη X 1〇〇μηι which is known in the acquisition time of 1 second (2〇〇x 2〇shadowing denier/m ^ ; the shirt image is not demonic decay. It constitutes the background of most images. The shading indicates a lifetime of 4 seconds, which corresponds to the lifetime of the fluorescent starch-binding compound, and the point detected in the image is a lifetime decay of 2.25 nanoseconds: aggregated Αβ peptide. The graph of Figure 8B shows No. 化合物 compound and human 42 201215876 Fluorescence decay rate calculated from compound No. n of aggregated Αβ peptide Conclusion In-tube fluorescence lifetime measurement of Compound No. 11 with aggregated ruthenium peptide was performed with a NeUroptix sAPPHIRE device. Based on the fluorescence lifetime decay rate, two peptides can be resolved with or without binding to the U-th compound. The results show that only the detection level of hundreds of photons can be used to distinguish the SAPPHIRE II with a lifetime of fluoroparticles with a difference of 85 nanoseconds. The superior efficacy of the device. Experiment 2: ocular pharmacokinetic study in a Dutch-white rabbit (DUtch-Belted Rabbit): According to one embodiment of the present invention, one of the present invention is used The device performs an in vivo pharmacokinetic study of Compound No. 11 in rabbit eyes. Figure 9A is a plot of photon frequency counts for two rabbits administered with starch-like binding compounds and for specific decay rates measured in rabbits and rabbits. According to an embodiment of the present invention, the photon frequency of the ratio of the decay rate of the fluorescence-like compound, the compound of the '° mouth compound (the compound No. 11) is calculated from the glory histogram (Fig. 9B), This demonstrates the ability of a starch-like binding compound to penetrate the cornea and be detected by a device in the lens of a rabbit's eye. The experiment is described below. Introduction The dose-response eye for topical administration of a fluorescent starch-binding compound in Helan•white-shoulder rabbits Pharmacokinetic study. Rabbits were tested daily for 4 days using Compound No. 11 starch-binding compound in the form of an ointment. Two animals were in the right eye in the form of ointment No. 11 compound 4 (0.5%) 衿荜. ; one-ft -^L· 4-/ . 〇', initially untreated and used as a control animal. The animal is administered at a specific time point for 4 τ

天’且在每天開始及結束時以SAPPHIRE; II 43 201215876 系統測試螢光強度及壽命量測。 結果表明: 1 )在重複局部投予後以軟膏形式之5 mg/g第11號化 合物之濃度實現可檢測螢光信號。 2)每天開始及結束時執行且持續4天之螢光量測顯示 兔眼睛之晶狀體核中第11號化合物的螢光增加。 方法: 以下表所述之時間間隔及劑量濃度執行眼部量測。 組 處理 動物編號 毒物劑量 主持者進行之眼部量測 1 5 mg/g (軟膏) 2 以830、1130及1430給藥 4天之軟膏. 每天開始及結束時的SAPPHIRE II 測試 對照 - 1 每天開始及結束時的SAPPHIRE II 測試 表1 :測試之動物組、投予之劑量及量測時間 研究在4天内交錯且在單個位置及單個儀器上進行。 在專用於該研究之昏暗房間中進行測試。 所有動物經由局部眼施藥以第11號化合物給藥且在右 眼中測試。麻醉動物且手動固持於Neuroptix SAPPHIRE II 裝置前部的平台上。藉由動物處理器進行總定位,且藉由 Neuroptix SAPPHIRE II操作器細調量測位置。一旦對準, SAPPHIRE II操作器即起始量測工序。在給藥之前,且隨後 在每天開始及結束時對動物進行基線量測(表1 )。 實驗設計及劑量: 在每天開始及結束時在眼睛中執行螢光壽命及強度量 44 201215876 =Γ定轴向掃描(z掃描)兔眼睛以獲得眼内資訊且 t=:xy掃描)以在眼睛之特定區域(在此情形中為 日日狀體核)執行壽命衰變量測。 …:識别所關注之位置’即在執行掃描時起始時間 相關单光子計數(TCSPS ) »接著獾尸总上*八少你^ 按者獲仵螢光奇命影像,其中 獲付各像素位置之衰變毒侖吉 丛,士 可卞直方圖。計算之衰變時間為在 命影像中編碼之顏色。各量測執行三次。自xy掃描 X侍之第11號化合物特徵的衰變率頻率計算比衰變率之 :子頻率計數且對三次量測取平均值。每天對螢光染料進 灯-人权準置測且顯示在整個_究期間無表觀漂移之可重 *月t* 〇亥裝置為人類使用特別設計’而平台賴作修改以 供固持家兔。 經由向各動物之右眼局部眼施用藉由毒物標竿 (Toxikon staff)執行給藥。 第1,、且.皮下注射得麻效(Dexdomitor)( 〇5 mg/kg)、 、月(Ketamine )( 5 mg/kg )麻醉動物。接著每天三次向 測试組各動物之右下眼驗施用約1/2时長的軟膏帶,持續4 天0 ……且,對於對照組,一隻動物以與測試組中之動物 相同的方式處理,但未向眼睛投予軟膏或溶液。 結果概述: 母4始(早晨)及結束(晚上)執行眼睛中類殿 粉結合化合物之營光強度及壽命量測。圖i〇a及圖_為 顯不關於第11號化合物之比衰變率之光子頻率計數的曲線 45 201215876 圖,其中在5隻兔晶狀體核中,在4天研究期間,早晨量 測基線值且在給藥後在每天結束時量測。圖丨〇 A為早晨量 測之曲線圖,且圖i 〇B為晚上量測之曲線圖,兩個量測皆 對以第11號化合物眼用軟膏給藥之家兔進行。對以第工i 號眼用軟膏給藥的兩隻兔子(丨〇〇2及丨〇〇3 )進行的量測顯 不眼睛核中之螢光信號有顯著增加。圖丨〇A及圖丨〇B顯示 在每天以3小時間隔給藥三次後,沿4天研究期量測累積 螢光信號。 圖11A及圖l1B為基線及第四天研究結束後使用動物 1〇〇3採集的兩個螢光壽命影像。基線量測展現指示眼睛晶 狀體中第11说化合物不存在的黑影像。4天後,xy掃描揭 :2奈秒之衰變率之壽命影像(以灰色展ί見),纟為螢光壽 ρ之特徵兩隻兔子之間收集的信號之差異可能歸因於技 術員的給藥變化及動物閃動。 結論 払X 5 mg/g濃度之第丨丨號化合物眼用藥膏實 現。重複局部投予第11號化合物傾向於在施藥若干小時後 在核中積聚且傾向於停留至少12小時。 請案及參考文獻的教 ,但熟習 而不悖離 儘管已參考具體實例特定顯示及描述本發 此項技術者應理解可作出形式及細節的多種變 隨附申請專利範圍所涵蓋的本發明範嘴。 【圖式簡單說明】 46 201215876 圖1為本發明之一具體實例之光學系統的示意圖。 、圖2A為執行用於檢測z掃描眼睛中的晶狀體界面之算 』間里測到的營光強度相對於位移之曲線圖,且圖為 根據本發明之一具體實例,圖2A之曲線圖的一階導數之曲 線圖。 圖3 A及圖3 B為說明根據本發明之一具體實例的螢光 衰變時間之測定的曲線圖。 圖4為說明根據本發明之一具體實例的時間相關單光 子計數之使用的示意圖。 圖5展示第11號化合物之結構,其可用作本發明之_ 具體實例之螢光類澱粉結合化合物。 圖6為藉由本發明之一具體實例之裝置獲得的螢光類 焱粕結合化合物(第11號化合物)之螢光直方圖。 圖7為根據本發明之一具體實例獲得的第!丨號化合物 之螢光壽命影像及其相應強度影像的圖。 圖8A為顯示本發明之一具體實例之類澱粉結合化合物 及結合於聚集體肽上之類澱粉結合化合物的螢光壽命影 像。 圖8B為顯示根據本發明之一具體實例的圖8A之螢光 哥命影像之類澱粉結合化合物及結合於聚集體肽上之類澱 粕纟。合化合物的相應螢光壽命直方圖的圖。 圖9 A為根據本發明之一具體實例的在活體内研究中在 兔子中量測的關於螢光類澱粉結合第11號化合物之比衰變 率之光子頻率的曲線圖。 47 201215876 圖9B為根據本發明之 究的螢光直方圊。 一具體實 匈的對應 於圖9A之研 具體實例之實驗 值及在給藥後在 第〗1號化合物) 圖】〇A及圖10B為顯示在本發明之— _ ’關於在兔子研究期間早晨量測的^線 每天結束時量測的螢光類澱粉結合化合物( 的比衰變率之光子頻率的曲線圖。 圖UA及圖1 基線時及在動物研 像。 1B為在本發明之一且砰眘办丨^ — 丹體貫例之實驗中, 究第四天結束後採集的兩個螢光壽命影 卜圖12為本發明之一具體實例之螢光類澱粉結合化合物 (第11號化合物)在470 nm處激發之發射光譜。 【主要元件符號說明】 101 :接物鏡 102 :突崩光電二極體檢測器(APD) 1〇3 :樣品(眼睛) 104 :平移台 1〇5 :電流計鏡 402:突崩光電二極體(APD) 403 :樣品 406 :脈衝光源 407 :同步模組(SYNC ) 408 :恆比鑑別器(CFD) 4〇9 :時間振幅轉換器(TAC ) 410 :多通道分析器(MCA) 48Fluorescence intensity and lifetime measurements were tested at the beginning and end of each day using the SAPPHIRE; II 43 201215876 system. The results showed that: 1) The detectable fluorescent signal was achieved at a concentration of 5 mg/g of the 11th compound in the form of an ointment after repeated topical administration. 2) Fluorescence measurement performed at the beginning and end of each day for 4 days showed an increase in fluorescence of Compound No. 11 in the lens nucleus of rabbit eyes. Method: Eye measurements were performed at time intervals and dose concentrations as described in the table below. Group treated animal number toxicant dose host eye measurement 1 5 mg / g (ointment) 2 4 days of ointment administered at 830, 1130 and 1430. SAPPHIRE II test control at the beginning and end of each day - 1 starts every day And at the end of the SAPPHIRE II test table 1: Test animal groups, doses administered and measurement time studies were staggered within 4 days and performed in a single location and on a single instrument. The test was conducted in a dimly lit room dedicated to the study. All animals were dosed with topical ocular administration as Compound No. 11 and tested in the right eye. Animals were anesthetized and manually held on the platform at the front of the Neuropterix SAPPHIRE II unit. The total positioning was performed by the animal processor and the position was fine-tuned by the Neuroptix SAPPHIRE II operator. Once aligned, the SAPPHIRE II operator initiates the measurement process. Animals were baseline measured prior to dosing and then at the beginning and end of each day (Table 1). Experimental Design and Dosage: Performs fluorescence lifetime and intensity in the eye at the beginning and end of each day. 44 201215876=ΓAxial scan (z scan) rabbit eye to obtain intraocular information and t=:xy scan) in the eye The specific area (in this case, the celestial body nucleus) performs a life decay variable test. ...:Identify the location of interest', that is, the start time related single photon count (TCSPS) when performing the scan. » Then the corpse is always on the top eight. You are the 仵 光 奇 奇 , , , The decay of the poisonous lun ji, the singer can be a histogram. The calculated decay time is the color coded in the life image. Each measurement was performed three times. From the xy scan, the decay rate of the compound No. 11 of the X-ray is calculated as the ratio of the decay rate: the sub-frequency count and the average of the three-dimensional measurement. Fluorescent dyes are introduced into the light-human rights test every day and show no significant drift during the entire period. *Monthly t* The device is specially designed for human use, and the platform is modified to hold rabbits. Administration was performed by topical administration to the right eye of each animal by a Toxikon staff. Animals were anesthetized with subcutaneous injections of Dexdomitor (〇5 mg/kg) and Ketamine (5 mg/kg). Then, an ointment tape of about 1/2 hour was applied to the right lower eye of each animal of the test group three times a day for 4 days 0... and, for the control group, one animal was in the same manner as the animals in the test group. Treatment, but no ointment or solution was administered to the eyes. Summary of results: The mother's 4 (in the morning) and the end (evening) performed the camping light intensity and life measurement of the powder-like compound in the eye. Figure i〇a and Figure _ are curves showing the photon frequency count of the specific decay rate of Compound No. 11 201215876, in which the baseline values were measured in the morning during the 4-day study period in 5 rabbit lens nucleus Measured at the end of each day after dosing. Figure 丨〇A is a graph of morning measurements, and Figure i 〇B is a graph of night measurements, both measurements were performed on rabbits administered with Compound No. 11 ophthalmic ointment. The measurement of the two rabbits (丨〇〇2 and 丨〇〇3) administered with the ointment ophthalmic ointment showed a significant increase in the fluorescence signal in the nucleus of the eye. Fig. A and Fig. B show that cumulative fluorescence signals were measured along the 4-day study period after three administrations at three hour intervals per day. Figures 11A and 11B show two fluorescence lifetime images acquired using animal 1〇〇3 after the baseline and fourth day studies. Baseline measurements reveal a black image indicating the absence of the 11th compound in the lens of the eye. After 4 days, the xy scan reveals: the life image of the decay rate of 2 nanoseconds (in gray), the characteristic of the fluorescent life ρ. The difference between the signals collected between the two rabbits may be attributed to the technician's Drug changes and animal flashing. Conclusion The quinone compound ophthalmic ointment of 払X 5 mg/g concentration was achieved. Repeated topical administration of Compound No. 11 tends to accumulate in the nucleus after a few hours of application and tends to stay for at least 12 hours. The teachings of the present application and the teachings of the present invention are not limited by the specific examples of the present invention. mouth. BRIEF DESCRIPTION OF THE DRAWINGS 46 201215876 FIG. 1 is a schematic view of an optical system according to an embodiment of the present invention. 2A is a graph of camping light intensity versus displacement measured during the calculation of the lens interface in the z-scanning eye, and the graph is a graph of FIG. 2A according to a specific example of the present invention. A graph of the first derivative. 3A and 3B are graphs illustrating the measurement of the fluorescence decay time according to an embodiment of the present invention. 4 is a schematic diagram illustrating the use of a time-correlated single photon count in accordance with an embodiment of the present invention. Fig. 5 shows the structure of the compound No. 11, which can be used as a fluorescent type starch-binding compound of the present invention. Fig. 6 is a fluorescence histogram of a fluorescent ruthenium-binding compound (No. 11 compound) obtained by a device of one embodiment of the present invention. Figure 7 is a diagram obtained in accordance with an embodiment of the present invention! A picture of the fluorescence lifetime image of the nickname compound and its corresponding intensity image. Fig. 8A is a fluorescence lifetime image showing a starch-binding compound such as a specific example of the present invention and a starch-binding compound bound to an aggregate peptide. Fig. 8B is a view showing a starch-binding compound such as the fluorescent ghetto image of Fig. 8A and a lake conjugated to the aggregate peptide according to an embodiment of the present invention. A plot of the corresponding fluorescence lifetime histogram of the compound. Fig. 9A is a graph showing the photon frequency of the specific decay rate of the fluorescent starch-based compound No. 11 measured in rabbits in an in vivo study according to an embodiment of the present invention. 47 201215876 Figure 9B is a fluorescent histogram according to the present invention. An experimental value corresponding to the specific example of the study of FIG. 9A and a compound of No. 1 after administration) FIG. 及A and FIG. 10B are shown in the present invention — _ 'About the morning during the rabbit study period A graph of the specific photon frequency of the fluorescence-based starch-binding compound measured at the end of each day. Figure UA and Figure 1 are at baseline and in animal studies. 1B is one of the present inventions.砰 丨 丨 — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Emission spectrum excited at 470 nm [Main component symbol description] 101: Array lens 102: sag photodiode detector (APD) 1 〇 3 : sample (eye) 104 : translation stage 1 〇 5 : current Mirror 402: sag photodiode (APD) 403: sample 406: pulse source 407: synchronous module (SYNC) 408: constant ratio discriminator (CFD) 4〇9: time-amplitude converter (TAC) 410: Multichannel Analyzer (MCA) 48

Claims (1)

201215876 七、申請專利範圍: · 1 · 一種用於檢測哺乳動物眼睛中之類澱粉 置,該裝置包含: 之裝 光源,其經組態以發出照射該眼睛且具有光波長、* :振或其組合中之至少一者的光,該等特性各適於當至: 種類澱粉結合化合物結合於該類澱粉蛋 夕 έ士人A 可#场類殺粉 :二且:Γ產生營光’該類澱粉結合化合物已引入該眼 月中且特異性結合於指示致澱粉樣病症之該類澱 及 π曰, :學單元,其經組態以接收包括由於照射該眼睛而產 粉光及測定至少由結合於該類殿粉蛋白之該類搬 二“勿產生之該榮光的螢光時間衰變率,該測定允 於該時間衰變率辨別結合於該類殿粉蛋白之該類 /’屯…合化合物於眼睛中之存在。 2·如中請專利範圍第^之裝置,其中該光學單元㈣ 態以測定以下至少一者之時間衰變率:分子、 合化合物;剛果紅(Congo red)或剛果&amp; /粉結 人化厶此. ,及剛果紅何生物類澱粉結 ° 〇物’金黃胺(ChrySamine)類澱粉結合化人物.金主 物㈣粉結合化合物;金黃胺G或金黃Jg衍二 合化合物;硫代黃素τ或硫代黃素了衍生物類殿 二:::物™素5或碌代黃素s—粉 …3.如申請專利範圍第i項或第2項之裝置,其中該光學 早疋測定至少由結合於該類澱粉蛋白之該類澱粉結合化合 49 201215876 物產生之該螢光的螢光強度。 4. 如申請專利範圍第3項之穿署 ^ A ^ ^ 凌置,其中該光學單元經組 態以基於該強度及該時間衰變率 +之至少一者來測定姅合於 該類澱粉蛋白之該類澱粉結合化合物之旦 、 5. 如申請專利範圍第i項或第2 M « - z .. 貝之裝置,其中該光學 早兀經組態以測定該眼睛之特定 均光子數。 *中具有比哀變率之平 項之裝置,其中該光源 6.如申請專利範圍第1項或第 包含脈衝雷射。 7.如申請專利範圍第6項之裝置,其中該脈衝雷射經組 ‘I、以發出重複頻率介於約1MHz與約24()mHz之間的光。 、8.如中請專利範圍第6項之裂置,其中該脈衝雷射經組 態以發出脈寬介於約40皮秒與約4〇〇皮秒寬之間的光。 ▲、9.如申請專利範圍第6項之裝置,其中該脈衝雷射經組 態以發出重複頻率為約4〇 MHz且脈寬為約2〇〇皮秒 光。 10.如申請專利範圍第丨項或第2項之裝置,其進一步 包3經組態以掃描該眼睛位置上來自該光源之光的光學掃 描單元。 11 ·如申請專利範圍第10項之裝置,其中該光學掃描單 L 3安裝於平移台上之接物鏡及包含電流計鏡之掃描 器。 12.如申請專利範圍第10項之裝置,其中該光學掃描單 70紅排列以使用該光源之照射取樣該眼睛中至少一個所關 50 201215876 注區域,該取樣包含照射至少一個區域内的點、平面或體 積中之至少一者及檢測螢光發射。 13. 如申請專利範圍第1〇項之裝置,其中該光學掃描單 讀排列以取樣該眼睛之—個以上區域上的不同位置。 14. 如申請專利範圍第1G項之裝置,其中該光學掃播單 讀排列以在沿逐深度延伸至該眼睛中的垂直軸之連續平 面中使用該光源執行該眼睛之平面掃描。 15. 如申請專利範圍帛i項或第2項之裝置,其進—步 包含用於檢測自該眼睛發出之螢光的光檢測器單元。' 16. 如申請專利範圍第15項之裝置,其中該光檢測器單 元包含光電二極體、光電倍增器、電荷轉合裝置及增強電 荷耦合裝置中之至少一者。 1 5項之裝置,其中該光檢測器單 17.如申請專利範圍第 元包含突崩光檢測器。 18. 如申請專利範圍第15項之裝置,其進一步包含接收 來自該光檢測器單元的指示來自該眼睛之螢光的光子計數 之電信號的時間相關單光子計數模組。 19. 如申請專利範圍第18項之裝置,其進一步包含至少 -個經組態以基於隨時間通道單元變化之光子計數分佈測 定螢光之時間衰變率的處理器模組。 20. 如申請專利範圍帛!項或第2項之農置,其中該光 學單元經組態以區別結合於該類澱粉蛋自之該賴粉結合 化合物與眼睛組織之背景自發螢光、其他非特定粒子及未 結合類殿粉結合化合物之自發螢光。 51 201215876 其中該光 之至少一 之該類澱 其中該類 21·如申請專利範圍帛1項或第2項之裝置, 學單元經組態以辨別以下一者以上的存在或量中 者:該類澱粉結合化合物;結合於該類澱粉蛋白 粉結合化合物;及該類澱粉蛋白。 22.如申請專利範圍第丨項或第2項之裝置, 殿粉蛋白包含聚集體。 23. 如申請專利範圍第1項或第2項之裝置,其中該類 澱粉蛋白包含前類澱粉蛋白聚集體。 24. 如申明專利範圍帛!項或第2項之裝置,其中該類 澱粉蛋白包含β類澱粉。 25. 如申請專利範圍第丨項或第2項之裝置,其中該致 澱粉樣病症包含阿茲海默氏病(Alzheimer,s disease )。 26. 如申請專利範圍第丨項或第2項之裝置,其中該光 學單元經組態以僅基於檢測之螢光至少辨別該類澱粉蛋白 之存在。 2 7 ·如申請專利範圍第1項或第2項之裝置,其中該光 學單元經組態以基於檢測之螢光測定該類澱粉結合化合物 至該眼睛之傳遞速率。 2 8.如申請專利範圍第1項或第2項之裝置,其中該光 學單元經組態以基於檢測之螢光測定傳遞至該眼睛之該類 澱粉結合化合物的空間分佈。 2 9.如申請專利範圍第1項或第2項之裝置,其中e哀光* 學單元經組態以基於檢測之螢光測定該類澱粉结合化合物 於該眼睛之角膜界面處的濃度梯度。 52 201215876 30.如申請專利範圍第i項或第2項之裝置,其中該光 學單元經組態以基於檢測之螢光測定在該眼睛之眼房液中 §亥類殿粉結合化合物之空間分佈及該類澱粉結合化人物之 時間分佈中之至少一者。 σ 31_如申請專利範圍帛i項或第2項之裴置,其中該光 學單元經組態以基於由該眼睛之組織發出 、νΛ g | 弓 | 的螢光信號增加測定該眼睛之眼界面位置。 32·如申請專利範圍第i項或第2項之裝置,其&quot;光 學單元經組態以基於以下至少一者測定該眼睛之核^位 置:(i )與該眼睛之解剖學結構的距離及(Η )強度量产之 變化的檢測。 33.如申請專利範圍帛}項或第2項之裝置,其中咳光 學單元經組態以基於該眼睛之解剖學結構或子结構之2少 -部分的天然f光激發測㈣解剖學結構或子結構之至二 —個尺寸。 34·如申請專利範圍第33項之t置,其中測定該至少一 個尺寸包含以下至少_者:獻該結構或子結構之厚度、 測定該結構或子結構之形狀及測定該眼睛之-或多個:構 或子結構之間的距離。 35·如申請專利範圍第1項或第2項之裝置,其中 學單元經組態以在該眼睛内掃描,以測定激發之天然螢 光’且從而測定該眼睛中的至少一個所關注區域;及、 使用該光源之照射取樣該眼睛中之至少—個所關注區 ° /取樣I 3執仃该至少〆個區域之至少—個完整區域 53 201215876 的寬測或使用該朵、、语 gg如 九原之…、射取樣該至少一個區域内之_ 位置中之至少—者’該取樣不同位置包同 區域中的點、平面或體積中之至少一者;/至一個 該取樣係為了消丨# $ ^丨、&amp; 巧了利疋至夕由該至少一個取樣區域中沾 於該類澱粉蛋白之該類澱粉結合化合物產生之該營光二 光強度及螢光之時間衰變率。 ’耸 36.如申請專利範圍帛1項或第2項之裝置,其中 學單元經組態以測定沿逐深度進入該眼睛中的軸向掃: 各點的激發之天然發光,且從而測定該眼睛中之至少— 所關注位置;及 ^ ―個 其中該光學單元經組態以測定至少由使用該光源之註 眼睛的在與該軸向掃描之方向垂直的連續平面中的一組= 面掃描每-者之各點處結合於該類澱粉蛋白之該類殿粉結 合化合物產生的該螢光之螢光強度及螢光之時間衰變率。 37·如申請專利範圍第i項或第2項之裝置,該裝置經 組態以使得能夠在該眼睛中即時搜尋到指示該致殿粉樣病 症之該類澱粉蛋白。 38. 如申請專利範圍第丨項或第2項之裝置其中該光 源經組態以發出具有針對該眼睛中結合於該類澱粉蛋白&lt;之 該類澱粉結合化合物之螢光激發光譜之峰區域的適當波長 之光,且其中該光學單元經組態以檢測具有針對該眼睛中 結合於該類澱粉蛋白之該類澱粉結合化合物之螢光發射光 譜之峰區域的適當波長之光。 39. 如申請專利範圍第!項或第2項之裝置,其中該類 54 201215876 澱粉結合化合物為第丨丨號化合物。 4〇.如申請專利範圍第38項之裝置,其中該激發光譜之 峰為約470 nm,該光源經組態以發出在該激發光譜之峰加 或減約20nm内之光,且其中該發射光譜之峰為約58〇nm, 且該光學單元經組態以檢測在該發射光譜之峰加或減約2 〇 nm内之光。 41. 如申請專利範圍第丨項或第2項之裝置,其中該類 澱粉蛋白為致澱粉樣病症之指示。 &quot; 42. —種用於檢測哺乳動物眼睛中之類澱粉蛋白之方 法,該方法包含: 以具有波長特性、偏振特性或其組合中之至少一者之 光源照射該眼睛,該等特性各適於當至少一種類殿粉处人 化合物結合於該類澱粉蛋白時在該類殿粉結合化合物中: 生螢光’該類殿粉結合化合物已引入該眼睛中且特里性&amp; 合於指示致澱粉樣病症之該類澱粉蛋白; 、'σ 接收光,包括由於照射該眼睛產生之螢光;及 測定至少由結合於該_ y # 〆類歲粉蛋白之該類澱粉社人 物產生之螢光的螢光之時n妄纖玄 、’〇 口化S 予間哀變率,該測定允許至 該時間衰變率辨別結合於哕^ π $ i 夂阶 &quot;亥類澱粉蛋白之該類澱粉结合化 合物於該眼睛中之存在。 初.。〇化 43. 如申請專利範圍第42 貝义万法其進一步包合泪ι|金 至少由結合於該類澱粉蛋白 # 、 乃蛋白之该類澱粉結合化合 該螢光之螢光強度。 卿座生的 55 201215876 該強度及該時間衰變率之至少一者測定結合於該類澱粉蛋 白之S亥類殿粉結合化合物之量。 45.如申請專利範圍第42項至第44項中任一項之方 法,其中以該光源照射該眼睛包含以脈衝雷射照射該眼睛。 46·如申請專利範圍第42項至第44項中任一項之方 法’其包含以重複頻率介於約.〖MHz與約240 MHz之間的 光照射該眼睛。 47. 如申請專利範圍第42項至第44項中任一項之方 法,其包合以包含約40皮秒至約400皮秒寬之脈寬的光照 射該眼睛。 48. 如申請專利範圍第42項至第44項中任一項之方 法’其包含以重複頻率為約4〇 MHz且脈寬為約200皮秒寬 之光照射該眼睛。 49. 如申請專利範圍第42項至第44項中任一項之方 法,其進一步包含: 基於由戎眼睛之組織發出的天然螢光引起的螢光信號 增加測疋該眼睛之眼界面的位置。 5〇·如申請專利範圍第42項至第44項中任一項之方 法,其進一步包含: 使用該光源之照樣該眼睛中之1少、一個所關注區 域,該取樣包含照射該至少一個區域中的點、平面或體積 中之至少一者且檢測該等螢光發射。 5 1.如申明專利範圍第5〇項之方法,其中該取樣包含取 樣或眼睛一個以上區域上的不同位置。 56 201215876 52.如申請專利範圍第42項至第44 ,員中任一項之方 法,其進一步包含: 在沿逐深度延伸至該眼睛中的垂直軸之連續平面中使 用該光源執行該眼睛之平面掃描。 、、,53·如申請專利範圍第42項至第44 ,員中任一項之方 ”進步包含基於以下至少—者測定^目艮睛之核上位 置:(丨)與該眼睛之解剖學結構 及( 變化的檢測。 又里度之 5:如:請專利範圍第42項至第44’項中任一項之方 物之:該類殿粉蛋白之該類殿粉結合化合 合物與眼睛組二;之該類殿粉結合化 合類殿粉結合化合物之自發螢光/、他非特疋粒子及未結 法,申請專利範圍第42項至第44射任-項之方 :、—步包含辨別以下一者以上的存在及詈中 一者:該_ ΉΠ·丨\ 子在及篁中之至少. 頰歲粉結合化合物;結合於 澱粉結合化合物;及該類澱粉蛋白。叫蛋白之該類 法 =請專利範圍…至第44項中任—項之方 x類歲粉蛋白包含聚集體。 法 :中如:請專利範圍第42項至第44項,任—項之方 58.如;1::蛋白包含前類搬粉蛋白聚集體。、 法 甲岣專利範圍第42項至第44 ε ^ 其中該_粉蛋白包含&quot;請粉。财任-項之方 Μ.如申請專利範圍第42項至第44項令任_項之方 57 201215876 法,其中該致澱粉樣病症包含阿茲海默氏病。 60.如申請專利範圍第42項至第扨項中任一項之方 法,其中該類版粉結合化合物包含分子轉子。 61·如申請專利範圍第42項至第44項令任一項之方 法,其中該類澱粉結合化合物包含以下至少一者·剛果紅 或剛果紅衍生物類澱粉結合化合物;金黃胺類澱粉結合化 合物;金黃胺衍生物類澱粉結合化合物;金黃胺G或金黃 胺G衍生物類I粉結合化合物;硫代黃素τ或硫代黃素T 衍生物類殿粉結合化合物;及硫代黃素s或硫代黃素s衍 生物類;殿粉結合化合物。 、62.如申請專利範圍帛42項至第44項中任一項之方 、、其3僅基於檢測之螢光至少辨別該類殿粉蛋白之存 在0 63.如申請專利範圍第42項至第 只芏第44項中任一項之方 法’其進一步包含基於檢測螢 A疋州疋该類澱粉結合化人 物至該眼睛的傳遞速率。 σ Μ.如申請專利範圍第42項 只芏弟44項中任一項之方 法,其進一步包含測定在該眼睛 率之平均光子數。 特…中具有比衰變 44項中任一項之方 定傳遞至該眼睛之類 44項中任—項之方 定該類澱粉結合化合 65 ·如申請專利範圍第42項至第 法,其進一步包含基於檢測之螢光測 贏粉結合化合物的空間分佈。 66·如申請專利範圍第42項至第 法,其進一步包含基於檢測之螢光測 58 201215876 物在該眼晴之角臈界面處的濃度梯度。 67.如申請專利範圍第42項至第44項中任一項之方 法’其進一步包含基於檢測之螢光測定於該眼睛之眼房液 中°亥類搬粉結合化合物之空間分佈及該類澱粉結入化人物 之時間分佈中之至少一者。勿 68·如申請專利範圍第42項至第44項中任一項之方 决’其進一步包含基於該眼睛之解剖學結構或子結構之至 夕 ''部分的天然螢光激發測定該解剖學結構或子社構 少—個尺寸。 又至 69·如申請專利範圍第68項之方法,其中測定該至小— .寸匕3以下至少一者:測定該結構或子結構之厚产、 剛定# ★士 又 -〜構或子結構之形狀及測定該眼睛之一或多個結構 或子結構之間的距離。 7〇·如申請專利範圍第42項至第44項中任一項之方 / ,其進—步包含使用光檢測器裝置檢測該眼睛產生之螢 置勹2如申凊專利範圍第7〇項之方法,其中該光檢測器裝 包含光電二極體、光電倍增器、電荷耦合裝置及增 何耦合裝置中之至少一者。 72,如申請專利範圍帛7ι項之方法,其中該光檢測器裝 G含快速突崩光電二極體檢測器。 法,:3·如:請專利範圍第42項至第44項中任一項之方 ^ ^包3執行由該眼睛產生之螢光的時間相關單 ^子計數。 59 201215876 抑74.如申請專利範圍第73項之方法,其中執行該時間相 D°光子计數包含使该光源呈脈衝形式及基於隨時間通道 單兀變化之光子計數分佈測定螢光之時間衰變率。 75.如申請專利範圍第42項至第44項中任一項之方 法,其包含: 而測定該 在該眼睛内掃描以測定激發之天然螢光且從 眼睛中之至少一個所關注區域;及 一個所關注區 、平面或體積 使用該光源之照射取樣該眼睛中之至少 域’該取樣包含照射該至少一個區域中的點 中之至少一者; 該取樣係為了測定至少由 於s玄類澱粉蛋白之該類澱粉結 光強度及螢光之時間衰變率。 76.如申請專利範圍第42 法,其包含: 該至少一個取樣區域中結合 合化合物產生之該螢光的螢 項至第44項中任一項之方 间钱眼晴中逐深度執行軸 之各點的激發之天妹摇出η μ 〜八热蛩光且從而測 關注位置;及 少一個 在與該軸向掃描之古a M 13垂直的連續平面中使用該光 執订该眼睛之平面播&gt; 70 描,以測定至少由該等平面掃描 點處結合於該類搬粉蛋白 贫白之该類澱粉結合化合物 螢光的螢光強度及螢光t _ π 物產生之 瓦尤之時間衰變率。 法 77.如申請專利範圍第 其中該方法使得能夠在 42項至第44項中任— 該眼睛中即時搜尋到指 項之方 示該致 60 201215876 殿粉樣病症之該類澱粉蛋白。 78.如申請專利範圍第42項至第44項中 τ饮 項之方 法’其進-步包含以具有針對該眼睛中結合於該類澱粉蛋 白之該類澱粉結合化合物之螢光激發光譜之峰區域的適杂 波長之光照射該眼睛;及 '田 檢測該眼睛接收的具有針對該眼睛中結合於該類澱粉 蛋白之該類澱粉結合化合物之螢光發射光譜之峰區域的、商 當波長之光。 3 ^ ^ 79.如申請專利範圍第78項之方法,其中該類澱粉結合 化合物為第11號化合物。 8 0 ·如申請專利範圍第7 8項之方法,其中該激發光譜之 峰為約470 nm,該眼睛之照射在該激發光譜之峰加或^約 20 nm内之波長處,且其中該發射光譜之峰為約58〇订瓜, 檢測該眼睛接收之光在該發射光譜之峰加或減約2〇 nm内 的波長處。 81·如申請專利範圍第42項至第44項中任一項之方 法’其中該類澱粉蛋白為致澱粉樣病症之指示。 82. 如申請專利範圍第42項至第44項中任一項之方 法,其中該方法允許至少基於該時間衰變率區別具有類似 螢光光譜之至少兩個不同螢光團,該類似螢光光譜包含發 射光譜與激發光譜中之顯著重疊中之至少一者。 83. 如申請專利範圍第42項至第44項中任一項之方 法,其進一步包含以兩個尺寸表現至少一個螢光團之螢光 強度及壽命衰變中之至少一者的分佈。 61 201215876 84.如申請專利範圍第42項至第44項中任一項之方 其進-步包含基於至少—個螢光團之營光強度及壽命 衰變中之至少一者測定結合之光子數及未結合之光子數。 Μ·如申請專利範圍第84項之方法,其進一步包含以兩 個尺寸表現與蛋白質結合之類澱粉結合化合物及未與蛋白 質結合之類澱粉結合化合物的螢光強度及壽命衰變之分 佈。 86. 如申請專利範圍第85項之方法,其進一步包含使以 兩個尺寸之表現與掃描器及雷射中之至少一者同步。 87. 如申請專利範圍第42項至第44項中任一項之方 其it步包含藉由在該眼睛之特定區域上對與比壽命 衰變關聯之螢光強度取平均值來測定參數。 88. 如申請專利範圍第42項至第44項中任一項之方 法,其進一步包含沿共焦路徑使對準光源與該眼睛對準以 測定該眼睛中之參考點。 89. 種用於識別哺乳動物眼睛中之解剖學結構之方 法’該方法包含: 、/、有波長特性、偏振特性或其組合之至少一者之光 源照射該眼睛,該蓉转把欠、在 寺特性各適於在遠眼睛之該解剖學結構 中產生天然螢光;及 則疋-亥眼目月中由该光源照射產生之天然螢光的強度變 =大之位f 4測允許基於該天然螢光強度變化最大 之位置識別該解剖學結構。 〇·如申α專利圍第89項之方法’其中該解剖學結構 62 201215876 包含該眼睛之前段的_###。 其中該 該解剖 最大之 其中該 之天然 房液深 的至少 體之該 上及核 91. 如申請專利範圍第89項或第 識別該解料結構包含敎” „面之位置。 92. 如中請專利範圍第91項之方法,其中該測定 予1 ^置包含基於測定該天然f光強度中增加 位置來測定該眼睛之晶狀體囊之界面位置。. 93. 如申請專利範圍第89項或第90項之方法, 識別該解剖學結構包含基於該光源在該眼睛中產生 螢先測定以下至少-者:角膜厚度、角膜形狀、眼 度曰曰狀體形狀、晶狀體厚度,及該眼睛之晶狀體 一個子結構之厚度及形狀中之至少一者中。 、94.如申請專利_ 931 頁之方法,#中該晶狀 至少-個子結構包含該眼睛之晶狀體囊、皮質、核 中之至:少一者。 」95·如申請專利範圍第89項或第90項之方法,其中該 識別錢剖學結構包含測定該眼睛之至少兩個解剖學結構 之間的眼内距離。 96_如申請專利範圍第89項或第9〇項之方法,其進一 步包含使用該光源檢測該哺乳動物之該眼睛中指示該致澱 粉樣病症之類殿粉蛋白。 97.如申請專利範圍第96項之方法,其進—步包含: 以该光源照射該哺乳動物之該眼睛,該光源進一步包 含波長特性、偏振特性或其組合中之至少一者,該等特性 各適於當至少一種類澱粉結合化合物結合於指示該致澱粉 63 201215876 樣病症之該類澱粉蛋白時在該類澱粉結合化合物中產生螢 光n殿粉結合化合物已引入該眼睛中且特異性結合於 指示該致澱粉樣病症之該類澱粉蛋白; 接收光,包括由於照射該眼睛產生之螢光;及 測定至少由結合於該類澱粉蛋白之該類澱粉結合化合 物產生之螢光的螢光之時間衰變率,該測定允許至少基於 該時間衰變率辨別結合於該類澱粉蛋白之該類殿粉結合化 合物於該眼睛中之存在。 a〜々成,丹甲孩辨別結合 該類澱粉蛋白之該類澱粉結合化合物之存在包含區別牡 於該類澱粉蛋白之該類澱粉結合化合物與眼睛組織之背 自發螢光、其他非特定粒子及未結合類殿 自發螢光。 物 99.如申請專利範圍第89項或第%項之方法 &gt; 方:使得能夠在該眼睛,即時搜尋到指示該樣; 之該類澱粉蛋白。 .银Μ1 100•如申請專利範圍第89 步包含以具有針對該眼睛中結 粉結合化合物之螢光激發光譜 射該眼睛;及 項或第90項之方法,其進一 合於該_粉蛋白之該類殿 之峰區域的適當波長之光照 收的具有針對該眼睛中 合化合物之螢光發射光 檢測該眼睛接 蛋白之該類澱粉結 當波長之光。 結合於該類澱粉 譜之峰區域的適 101.如申請專利範圍第100 項之方法,其令 該類澱粉結 64 201215876 合化合物為第11號化合物。 102.如申請專利範圍第1〇〇項之方法,1击&amp; 々次具中該激發光譜 之峰為約470 nm,該眼晴之照射在該激發光譜之峰加或減 約2〇 nm内之波長處,且其中該發射光譜之峰為約5肋打爪 檢測該眼睛接收之光在該發射光譜之峰加或減約2〇 的波長處。 1 0 3 . 一種用於測定眼級織中之蛋白暂 贫白為上結合的螢光團 之方法,該方法包含: 以具有波長特性、偏振特性或其組合中之至,卜一者之 ^源照射該眼組織,該等特性各適於當至少_種類殿粉結 口化合物結合於該蛋白f時在該類殿粉結合化合物中產生 螢光,該類澱粉結合化合物已 ?丨入β亥眼組織令且特異性結 合於該蛋白質; 接,光’包括由於照射該眼睛產生之營光;及 測定至少由結合於該蛋白 &amp; 之該類版粉結合化合物產生 之螢光的營光之時間轰變率,#, 一 ^ 该測疋允許至少基於該時間 农艾羊辨別結合於該蛋白質 組織中之存在。 夂及類歲粉結合化合物於該眼 八、圖式: (如次頁) 65201215876 VII. Scope of Application: · 1 · A method for detecting a starch in a mammalian eye, the device comprising: a light source configured to emit light to the eye and having a wavelength of light, *: The light of at least one of the combinations, each of which is suitable for: when the type of starch-binding compound is bound to the starch-like egg, the egg-like person A can kill the powder: two and: the cockroach produces the light A starch-binding compound has been introduced into the eye and specifically bound to the type of lake and π曰, which is indicative of an amyloid-like condition, configured to receive, including, illuminating the eye by illuminating the eye and determining at least Incorporating the fluorescence decay rate of the glory that is not associated with the genus of the genus of the genus, the determination allows the decay rate to be recognized in the genus of the genus The presence of the eye in the eye. 2. The device of the patent scope, wherein the optical unit (four) states to determine the decay rate of at least one of the following: molecules, compounds; Congo red or Congo & a Mp; / powdered humanized 厶 this., and Congo red Ho bio-starch ° 〇 ''Chrysamine' type starch-binding character. Gold main (four) powder binding compound; Golden amine G or Golden Jg Yan a compound; thioflavin tau or thioflavin derivative class II::: substance TM 5 or dynamin s-powder... 3. device as claimed in item i or item 2 Wherein the optical early indica is determined by the fluorescence intensity of the fluorescent light produced by at least the starch-binding compound 49 201215876 bound to the amyloid. 4. The application of the third paragraph of the patent application is ^ ^ ^ ^ Aligning, wherein the optical unit is configured to determine the type of the starch-binding compound conjugated to the amyloid based on the intensity and the decay rate of the time, 5. Or a device of the 2nd M «-z.., wherein the optical device is configured to determine a specific number of photons of the eye. * A device having a level of sorrow rate, wherein the light source is 6. For example, the first or the first part of the patent application scope includes a pulsed laser. The device of item 6, wherein the pulsed laser passes through the group 'I to emit light having a repetition frequency between about 1 MHz and about 24 () mHz. 8. And wherein the pulsed laser is configured to emit light having a pulse width between about 40 picoseconds and about 4 picoseconds wide. ▲, 9. The device of claim 6 wherein the pulse The laser is configured to emit a repetition rate of about 4 〇 MHz and a pulse width of about 2 〇〇 picoseconds. 10. The apparatus of claim 2 or 2, further package 3 configured An optical scanning unit that scans light from the source at the location of the eye. 11. The device of claim 10, wherein the optical scanning unit L3 is mounted on the translation stage and the scanner including the galvanometer mirror. 12. The device of claim 10, wherein the optical scanning unit 70 is arranged in red to sample at least one of the 50 201215876 injection areas of the eye using illumination of the light source, the sampling comprising illuminating a point in at least one region, At least one of a plane or volume and detecting fluorescent emissions. 13. The device of claim 1, wherein the optical scan is read by a single reading to sample different locations on more than one area of the eye. 14. The device of claim 1G, wherein the optical sweeping readout arrangement performs a planar scan of the eye using the light source in a continuous plane extending along a depth axis extending deep into the eye. 15. If the device of claim ii or item 2 is applied, the further step comprises a photodetector unit for detecting fluorescence emitted from the eye. 16. The device of claim 15 wherein the photodetector unit comprises at least one of a photodiode, a photomultiplier, a charge transfer device, and an enhanced charge coupling device. A device of item 15, wherein the photodetector unit 17. The refractory photodetector is included in the scope of the patent application. 18. The device of claim 15 further comprising a time-correlated single photon counting module that receives an electrical signal from the photodetector unit indicative of a photon count from the fluorescent light of the eye. 19. The device of claim 18, further comprising at least one processor module configured to determine a time decay rate of the fluorescence based on a photon count distribution that varies over time channel elements. 20. If you apply for a patent range! Item or item 2, wherein the optical unit is configured to distinguish between spontaneous phosphorescence, other non-specific particles, and unbound powders of the starch-binding compound and the ocular tissue from the starch-like egg Spontaneous fluorescence of the bound compound. 51 201215876 wherein at least one of the light is of the type 21; as in the device of claim 1 or 2, the unit is configured to identify the presence or amount of one or more of the following: a starch-like binding compound; a starch-binding compound bound to the amyloid; and an amyloid. 22. The device of claim 1 or claim 2, wherein the powder protein comprises aggregates. 23. The device of claim 1 or 2, wherein the amyloid comprises pre-amyloid aggregates. 24. If the scope of the patent is declared 帛! The device of item 2, wherein the amyloid protein comprises a beta starch. 25. The device of claim 2, wherein the amyloidogenic condition comprises Alzheimer's disease. 26. The device of claim 2, wherein the optical unit is configured to discriminate at least the presence of the amyloid based on the detected fluorescence. A device according to claim 1 or 2, wherein the optical unit is configured to determine the rate of delivery of the starch-binding compound to the eye based on the detected fluorescence. 2. The device of claim 1 or 2, wherein the optical unit is configured to determine a spatial distribution of the starch-binding compound delivered to the eye based on the detected fluorescence. 2 9. The device of claim 1 or 2, wherein the e-lighting unit is configured to determine a concentration gradient of the starch-binding compound at the corneal interface of the eye based on the detected fluorescence. 52 201215876 30. The device of claim 1, wherein the optical unit is configured to determine a spatial distribution of a compound of the diarrhea powder in the aqueous humor of the eye based on the detected fluorescence. And at least one of the time distributions of such starch-binding characters. σ 31_ as set forth in claim 帛i or item 2, wherein the optical unit is configured to determine an eye interface of the eye based on a fluorescent signal emitted by the tissue of the eye, νΛ g | position. 32. The device of claim 1 or 2, wherein the optical unit is configured to determine a position of the eye of the eye based on at least one of: (i) a distance from an anatomical structure of the eye And (Η) detection of changes in the intensity of mass production. 33. The device of claim 2, wherein the coughing optical unit is configured to be based on the anatomical structure or substructure of the eye, a small-part of the natural f-light excitation (four) anatomical structure or The substructure is up to two dimensions. 34. The method of claim 33, wherein the at least one dimension comprises at least one of: a thickness of the structure or substructure, a shape of the structure or substructure, and - or more : The distance between a structure or a substructure. 35. The device of claim 1 or 2, wherein the learning unit is configured to scan within the eye to determine the excited natural fluorescent light&apos; and thereby determine at least one region of interest in the eye; And using the illumination of the light source to sample at least one of the regions of interest in the eye / sampling I 3 to perform at least one complete region of the at least one region 53 201215876 wide measurement or use the flower, gg such as nine The original ..., the shot samples at least one of the _ positions in the at least one region - the sampling of the different locations includes at least one of a point, a plane or a volume in the same region; / to a sampling system for eliminating 丨# $^丨, &amp; 巧 了 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 由 。 。 。 。 。 。 。 。 。 。 。 。 。 。 'Claim 36. The device of claim 1 or 2, wherein the learning unit is configured to determine an axial sweep entering the eye along the depth: the natural luminescence of the excitation at each point, and thereby determining At least - the position of interest; and ^ wherein the optical unit is configured to determine a set of = surface scans in at least a continuous plane perpendicular to the direction of the axial scan of the eye using the source The fluorescence intensity of the fluorescent light and the time decay rate of the fluorescent light produced by the powder-binding compound of the amyloid of the amyloid at each point. 37. The device of claim i or item 2, wherein the device is configured to enable immediate search for the amyloid indicative of the halloid-like condition in the eye. 38. The device of claim 2, wherein the light source is configured to emit a peak region having a fluorescence excitation spectrum for the starch-binding compound bound to the amyloid in the eye. Light of the appropriate wavelength, and wherein the optical unit is configured to detect light having an appropriate wavelength for the peak region of the fluorescent emission spectrum of the starch-binding compound bound to the amyloid in the eye. 39. If you apply for a patent scope! Or the device of item 2, wherein the class of the 2012 20128876 starch binding compound is the ninth compound. 4. The device of claim 38, wherein the peak of the excitation spectrum is about 470 nm, the light source is configured to emit light at a peak of the excitation spectrum plus or minus about 20 nm, and wherein the emission The peak of the spectrum is about 58 〇 nm, and the optical unit is configured to detect light in the peak of the emission spectrum plus or minus about 2 〇 nm. 41. The device of claim 2, wherein the amyloid is an indication of an amyloidogenic condition. &lt; 42. A method for detecting an amyloid protein in a mammalian eye, the method comprising: illuminating the eye with a light source having at least one of a wavelength characteristic, a polarization characteristic, or a combination thereof, the characteristics being appropriate In the case of at least one class of powdered human compound bound to the amyloid in the class of powder-binding compounds: fluorescing 'this class of powder-binding compounds have been introduced into the eye and Terry &amp; An amyloid of the amyloid-like disorder; 'σ receiving light, including fluorescence generated by illuminating the eye; and measuring the firefly produced by at least the starch body of the starch conjugated to the _y# When the fluorescence of light is n 妄 玄 、, '〇口化 S 予 哀 率 , , , , , , , , , 该 该 该 该 该 该 该 该 该 该 该 该 该 该 , , 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合 结合The presence of the binding compound in the eye. early.. 〇化 43. As claimed in the Scope of the Patent No. 42 义 万 其 其 其 其 其 其 其 其 其 其 其 其 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 泪 至少 至少 至少 至少 至少55 201215876 The intensity and the decay rate of the time determine the amount of the S-type powder binding compound bound to the starch protein. The method of any one of claims 42 to 44, wherein illuminating the eye with the light source comprises illuminating the eye with a pulsed laser. 46. The method of any one of claims 42 to 44, wherein the method comprises irradiating the eye with light having a repetition rate between about .MHz and about 240 MHz. 47. The method of any one of claims 42 to 44, wherein the inclusion comprises exposing the eye to a light having a pulse width of from about 40 picoseconds to about 400 picoseconds. 48. The method of any one of claims 42 to 44 which comprises illuminating the eye with light having a repetition rate of about 4 〇 MHz and a pulse width of about 200 picoseconds wide. 49. The method of any one of claims 42 to 44, further comprising: increasing the position of the eye interface of the eye based on a fluorescent signal caused by natural fluorescence emitted by the tissue of the blinking eye . The method of any one of claims 42 to 44, further comprising: using the light source as one of the eyes, one of the regions of interest, the sampling comprising illuminating the at least one region At least one of a point, a plane, or a volume in the middle and detecting the fluorescent emissions. 5 1. The method of claim 5, wherein the sampling comprises sampling or different locations on more than one area of the eye. The method of any one of the preceding claims, further comprising: performing the eye using the light source in a continuous plane extending to a vertical axis in the eye depth-by-depth Plane scanning. ,,, 53. If the scope of the application for patents is 42 to 44, the progress of any one of the members includes: based on at least the following: the position on the nucleus of the eye: (丨) and the anatomy of the eye Structure and (variation of detection. Also 5: For example: please refer to any of the 42nd to 44th items of the patent scope: the powder-protein combination of this type of powder protein Eye group 2; the spontaneous fluorescence of the compound powder combination compound of the temple powder combination compound, the non-specific particles and the unfinished method, the patent application scope 42 to 44: the party of the item: Included in the presence of one or more of the following: _ ΉΠ 丨 子 子 子 子 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊 颊Class method = please patent scope ... to the 44th item - the party x class powder protein contains aggregates. Law: such as: please patent range 42 to 44, the term - the party 58. ; 1:: The protein contains the former class of powdered protein aggregates. The French patent range 42 to 44 ε ^ where the _ powder protein contains &quot;please powder. 财任-方之方Μ. If you apply for patent scopes 42 to 44, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ The method of any one of claims 42 to 3, wherein the powder binding compound comprises a molecular rotor. 61. If the patent application range is 42 to 44 The method of any one of the present invention, wherein the starch-binding compound comprises at least one of the following: Congo red or Congo red derivative starch-binding compound; a golden amine starch-binding compound; a golden amine derivative-based starch-binding compound; Or a gold amine G derivative I powder binding compound; thioflavin tau or thioflavin T derivative class powder binding compound; and thioflavin s or thioflavin s derivative; Compound 62. If the patent application scope is 帛42 to 44, the 3 is based on the detected fluorescence to discriminate at least the presence of the powder of the genus. 63. Item to item 44 A method of further comprising the method of detecting the rate of transmission of the starch-bound character of the genus A. 疋 疋 。 。 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如 如The method further comprises determining the average number of photons at the eye rate. The specific combination of the items of the 44 items of the damage to the eye, such as any one of the 44 items, is determined to be a combination of the starches of the type of the starch. For example, in the scope of claim 42 to the method, it further comprises a spatial distribution based on the detected fluorescence-measuring powder-binding compound. 66. If the patent scope is in the 42nd to the third, the method further comprises a detection-based fluorescence measurement. 58 201215876 Concentration gradient at the interface of the angle of the eye. 67. The method of any one of claims 42 to 44, further comprising the spatial distribution of the pulverized binding compound in the aqueous humor of the eye based on the detected fluorescence and the like At least one of the time distribution of the starch-integrated character. </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; Structure or sub-social structure is less than one size. And 69. The method of claim 68, wherein the method is as follows: at least one of the following: measuring the thickness of the structure or substructure, determining the weight of the structure or substructure, The shape of the structure and the distance between one or more structures or substructures of the eye. 7. In the case of any one of the 42nd to 44th patent applications, the further step of detecting the fire generated by the eye using a photodetector device is as follows: The method, wherein the photodetector comprises at least one of a photodiode, a photomultiplier, a charge coupled device, and a fused device. 72. The method of claim 1, wherein the photodetector comprises a fast burst photodiode detector. Method: 3· For example, please refer to the party of any of items 42 to 44 of the patent range ^ ^Pack 3 to perform the time-dependent single-sub-count of the fluorescence produced by the eye. 59. The method of claim 73, wherein performing the time phase D° photon counting comprises measuring the time decay of the fluorescent light in a pulsed form and based on a photon count distribution of a single channel change over time channel rate. The method of any one of claims 42 to 44, comprising: determining the scan in the eye to determine the excited natural fluorescent light and from at least one of the regions of interest in the eye; Detecting at least one of the regions of the eye using the illumination of the source of interest by the illumination of the source of interest. The sampling comprises illuminating at least one of the points in the at least one region; the sampling is for determining at least s-mysterin The light intensity of the starch and the time decay rate of the fluorescent light. 76. The method of claim 42, wherein the method comprises: the fluorescent component of the fluorescent compound generated by the binding compound in the at least one sampling region to the depth of the axis in any one of the 44th The excited girl at each point shakes out η μ ~ eight hot 且 light and thus measures the position of interest; and one less uses the light to align the plane of the eye in a continuous plane perpendicular to the axial scan of the ancient a M 13 Broadcasting 70 to determine the fluorescence intensity of the fluorescence of the starch-binding compound bound to at least the powdered protein protein at the plane scanning points and the time of the fluorescein produced by the fluorescent t _ π Decay rate. Act 77. If the scope of the patent application is such that the method enables any of the 42-to-44th items in the eye to be searched for in the eye, the amyloid of the class of the 2012 20128876 powder-like condition. 78. The method of claim 228, wherein the method further comprises the step of having a fluorescence excitation spectrum for the starch-binding compound bound to the amyloid in the eye. Light of a region of appropriate wavelength illuminates the eye; and 'field detection of the wavelength of the peak of the fluorescence emission spectrum of the starch-binding compound bound to the amyloid in the eye Light. 3 ^ ^ 79. The method of claim 78, wherein the starch-binding compound is the compound No. 11. 8. The method of claim 7, wherein the peak of the excitation spectrum is about 470 nm, and the illumination of the eye is at a peak of the excitation spectrum plus or about a wavelength within about 20 nm, and wherein the emission The peak of the spectrum is about 58 Å, and the light received by the eye is detected at the wavelength of the emission spectrum plus or minus the wavelength within about 2 〇 nm. 81. The method of any one of claims 42 to 44 wherein the amyloid is an indication of an amyloidogenic condition. The method of any one of claims 42 to 44, wherein the method allows at least two different fluorophores having a similar fluorescence spectrum to be distinguished based on the decay rate at the time, the similar fluorescence spectrum At least one of a significant overlap in the emission spectrum and the excitation spectrum is included. The method of any one of claims 42 to 44, further comprising the distribution of at least one of fluorescence intensity and lifetime decay of at least one fluorophore in two dimensions. 61 201215876 84. The method according to any one of claims 42 to 44, wherein the step further comprises determining the number of combined photons based on at least one of a camping light intensity and a lifetime decay of at least one fluorophore And the number of photons that are not combined. The method of claim 84, which further comprises the distribution of the fluorescence intensity and lifetime decay of the starch-binding compound which binds to the protein and the starch-binding compound which is not bound to the protein in two sizes. 86. The method of claim 85, further comprising synchronizing the performance of the two sizes with at least one of a scanner and a laser. 87. The method according to any one of claims 42 to 44, wherein the step comprises determining the parameter by averaging the fluorescence intensity associated with the decay of the specific lifetime over a particular region of the eye. The method of any one of claims 42 to 44, further comprising aligning the alignment source with the eye along a confocal path to determine a reference point in the eye. 89. A method for identifying an anatomical structure in a mammalian eye, the method comprising: illuminating the eye with a light source having at least one of wavelength characteristics, polarization characteristics, or a combination thereof The characteristics of the temple are each suitable for producing natural fluorescence in the anatomical structure of the far eye; and the intensity of the natural fluorescence produced by the illumination of the light source in the eye of the eye-eye is changed according to the natural The location where the change in fluorescence intensity is greatest identifies the anatomical structure. 〇·如申α Patent Section 89 of the method' wherein the anatomical structure 62 201215876 contains _### in front of the eye. Wherein the anatomy is the largest of the natural body fluids at least the body and the core 91. As claimed in claim 89 or the identification of the material structure comprising the 敎" „ position. 92. The method of claim 91, wherein the determining comprises determining an interfacial position of the lens capsule of the eye based on determining an increase in the intensity of the natural f light. 93. The method of claim 89 or 90, wherein identifying the anatomical structure comprises generating at least one of the following in the eye based on the light source: corneal thickness, corneal shape, eye shape The body shape, the thickness of the lens, and at least one of the thickness and shape of a substructure of the lens of the eye. 94. The method of claim _ 931, wherein the at least one substructure comprises the lens capsule, the cortex, and the nucleus of the eye: one less. 95. The method of claim 89, wherein the identifying the cross-sectional structure comprises determining an intraocular distance between at least two anatomical structures of the eye. 96. The method of claim 89, wherein the method further comprises detecting, by the light source, a powder protein indicative of the amyloid-like condition in the eye of the mammal. 97. The method of claim 96, wherein the method further comprises: illuminating the eye of the mammal with the light source, the light source further comprising at least one of a wavelength characteristic, a polarization characteristic, or a combination thereof, the characteristics Each suitable for producing a fluorescent in the starch-binding compound when at least one starch-like binding compound binds to the amyloid indicating the starch 63 201215876-like condition has been introduced into the eye and specifically binds Such an amyloid indicating the amyloidogenic condition; receiving light, including fluorescence generated by irradiation of the eye; and measuring fluorescence of at least the fluorescent light produced by the starch-binding compound bound to the amyloid Time decay rate, the assay allows discrimination of the presence of such a matrix-binding compound bound to the amyloid-like protein in the eye based at least on the decay rate. a~々成, the presence of such a starch-binding compound in combination with the amyloid of the amyloid containing the starch-binding compound of the amyloid and the spontaneous fluorescence of the ocular tissue, other non-specific particles and Unincorporated temples spontaneously fluorescent. 99. The method of claim 89 or item % of the patent application &gt; means: enabling the amyloid in the eye to be immediately searched for; . Silver Μ 1 100• If the application of the patent scope, step 89, comprises illuminating the eye with a fluorescent excitation spectrum for the powder-binding compound in the eye; and the method of item 90, which is further integrated into the powder protein The light of the appropriate wavelength of the peak region of the temple has a wavelength of light that is detected by the fluorescent emission light of the compound in the eye. A method of binding to a peak region of such a starch spectrum. The method of claim 100, wherein the starch compound is a compound No. 11. 102. The method of claim 1, wherein the peak of the excitation spectrum is about 470 nm, and the illumination of the eye is added or subtracted by about 2 〇 nm at the peak of the excitation spectrum. At the wavelength within, and wherein the peak of the emission spectrum is about 5 ribs, the light received by the eye is detected at a wavelength of about 2 加 at the peak of the emission spectrum. 1 0 3. A method for determining a luminescent group in which the protein in the eye woven fabric is temporarily depleted, and the method comprises: having a wavelength characteristic, a polarization characteristic, or a combination thereof, The source illuminates the ocular tissue, and each of the properties is adapted to generate fluorescence in the genus powder-binding compound when at least the phyllo-powder compound is bound to the protein f, and the starch-binding compound has been incorporated into β hai The ocular tissue is specifically and specifically bound to the protein; the light includes: the camp light generated by illuminating the eye; and the camp light that is determined by at least the fluorescence generated by the conjugated compound of the protein bound to the protein &amp; Time bombing rate, #,一^ This test allows for the identification of the presence of binding to the protein tissue based at least on that time.夂 and age-like powder combination compounds in the eye VIII, schema: (such as the next page) 65
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